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VOLUME 3 { NO 2} EDITION 8
{ Of f i c i a l Publication of the NORTH CAROLINA Board of Nursing} . . . . . . . . . . . . . . . . WINTER
07
SSECTHTOIONGL
THE CHALLENGES OF
MEETING HEALTH CARE NEEDS
OF STUDENTS IN THE
WINTER 2007 BULLETIN
NC BOARD OF NURSING
Nursing Bulletin is the official
publication of the North
Carolina Board of Nursing.
Office Location
3724 National Drive, Ste 201
Raleigh, NC 27612
Mailing Address
P. O. Box 2129
Raleigh, NC 27602
Telephone
( 919) 782- 3211
Fax
( 919) 781- 9461
Automated Verification
( 919) 881- 2272
Website
www. ncbon. com
Office Hours
8 a. m. to 5 p. m.,
Monday through Friday
Board Chair
Beverly Foster, PhD, RN
Executive Director
Polly Johnson, RN, MSN, FAAN
Editor
David Kalbacker
Artists
Hobert Hampton
Paulette Young
Photography
DayMeetsNight Photography
Mission Statement
The North Carolina Board of
Nursing is committed to protecting
the health and well- being of the
public through regulating the deliv-ery
of safe, effective nursing care.
Advertisements contained here-in
are not necessarily endorsed by
the North Carolina Board of
Nursing. The publisher reserves the
right to accept or reject advertise-ments
for the Nursing Bulletin.
All art ( photos, paintings, draw-ings,
etc.) contained in this publi-cation
is used under contractual
agreement.
123,000 copies of this document
were printed and mailed for a cost
of $. 12 per copy
The North Carolina Board of
Nursing is an equal opportunity
employer.
CREATED BY:
Publishing Concepts, Inc.
14109 Taylor Loop Road
Little Rock, AR 72223
Virginia Robertson, President
vrobertson@ pcipublishing. com
FOR ADVERTISING INFORMATION:
Greg Jones
gjones@ pcipublishing. com
501.221.9986 • 800.561.4686
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . NC
VOLUME 3 { NO 1 } EDITION 8
Table of
AFQ
CONTENTS
s
Election Incentives
for 2007
24
12
Nomination Form
for 2007
13
21 Healthcare Needs of Students
27 Frequently Asked Questions
DEPARTMENTS: 6 l e t t e r s t o t h e e d i t o r 7 f r o m t h e e x e c u t i v e d i r e c t o r
8 f r o m t h e c h a i r 17 S u m m a r y o f A c t i o n s 23 t h e B r e a k R o o m 29 C l a s s i f i e d s
28 N a m e a n d a d d r e s s c h a n g e f o r m 30 2 0 0 7 W o r k s h o p R e g i s t r a t i o n F o r m
Joint Position
Statement on
Nursing Work
Environment
15
Nurse Educators of Tomorrow
Scholarship Program
25
Nurse Pr a c t i t i o n e r Ru l e s U p d a t e d
“ She loved people” I am writing to let you know that we
have lost a beautiful human being, my wife, Genevieve Lamb.
She was a nurse for more than thirty- five years and loved every
minute of it. She was dedicated to her profession and her
patients. She loved people, and people all loved her. We were
married for twenty- four beautiful years. I know someday we will
be together again. Till then, I am missing her each day. I just
can’t let her go without the nursing profession knowing that she
was “ one of the best.” If anyone loves what he or she is doing as
my wife did, and I know there are others, then we are truly
blessed with some terrific nurses in North Carolina.
BILL LAMB
Send letters to: Editor, Nursing
Bulletin, North Carolina Board of Nursing,
P. O. Box 2129, Raleigh, NC 27602- 2129 or
Email, david@ ncbon. com
e t t e r s
t o t h e
EDITO R L
{ Of f i c i a l Publication of the NORTH CAROLINA Board of Nursing } . . . . . . . . . 6 . . . . . . . . . . . . . . . . . . . .
“ Take the step to a better life”
Thank you for saving my life. In January 2003 I became a participant in the Board’s Alternative Program [ for Chemical Dependency].
When I was initially confronted with my substance abuse issues, I, like many others, was in a deep state of denial. The reality hit me
like a ton of bricks when I had to surrender my nursing license to the Board. At the time I had two choices: I could give up and stay
in the mud and mire I was in, or I could do as someone at the Board suggested— make it right. I chose the latter, and this chance is
what I am most appreciative of. I thank you not only for ensuring that the public is safe while receiving nursing care but for caring
about those who provide that care.
The road has not been easy. Many times I have wanted to give in.
I know I have to battle this addiction day by day. I am appreciative that today I am clean and sober. What a wonderful feeling it is.
I would like to tell participants in alternative or compliance programs to not give up. I know firsthand that you get tired and frustrat-ed
with the requirements of the programs, but living a life free from the bondage of addiction is worth it.
Also, to any of my fellow nurses who are currently battling their addictions silently, I want you to know you are not alone. We have a
compassionate Board that cares about you, and it has put programs and measures in place to lift you out of this dark place if you are
willing to do the work. It is only a phone call away. Take the step to a better life.
NAME WITHHELD UPON REQUEST
“ Don’t accept no for an answer ” The irony of my death will be that it is
attributable to direct patient care. I was exposed to blood on a daily basis while work-ing
as an RN in acute care areas in local hospitals. While trying to help people live,
I sat with families and patients, I read prayers, and I held people in my arms as they
took their last breath.
In November 2004, at my insistence for proper tests, I was found to be positive for
HCV ( hepatitis C virus). Although the test for HCV became available in 1998, my
previous employer did not notify me of this fact. By the time the diagnosis was made,
I was found to be ineligible for chemotherapy or a liver transplant. The vocation that
I chose and dedicated my life to turned against me. So here’s my message to all health
care workers: demand annual HCV testing. Early detection offers the best treatment
alternatives. Don’t accept no for an answer.
MARY JANE FERRELL, RN
Demand annual
HCV testing. Early
detection offers the
best treatment
alternatives.
DON’T ACCEPT
NO FOR AN
ANSWER.
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . NC
f r o m t h e
E x e c u t i v e
D i r e c t o r
This will be a busy year for our Board and staff
as we continue our journey toward excellence in
nursing regulation and delivery of safe, effective
patient care. We will enhance our regulatory processes
through implementation of continued competence requirements
for licensure renewal, expansion of our drug and alcohol alterna-tive
programs, and continuation of our Practitioner Remediation
and Practice Enhancement Partnership ( PREP) program for
licensees and employers. Also, we will pursue implementation of
national accreditation and uniform faculty- preparation require-ments
for all nursing education programs by 2015.
I am proud to report that the Board staff will seek the sec-ond
level of achievement and recognition by the North
Carolina Awards for Excellence for quality improvement that
is based on the nationally recognized Malcolm Baldrige
Criteria. Major corporations, educational institutions, and
health care systems across the state and the nation use these
criteria as a framework for continuous quality improvement.
Our Board is the first occupational licensing board in North
Carolina to commit to this level of scrutiny of our quality-improvement
efforts. I commend the efforts of each of our staff
members in this important journey.
The Foundation for Nursing Excellence, created by the
Board, will implement phase 1 of an important study in 2007.
With a grant from the Blue Cross/ Blue Shield of North Carolina
Foundation and in partnership with the National Council of
State Boards of Nursing, the Foundation will evaluate the transi-tion
of newly licensed nurses into their first six months of pro-fessional
employment as the next step toward a transition model
for all newly licensed nurses. The Foundation started to develop
the model transition program in 2004, in collaboration with the
North Carolina Center for Nursing and the North Carolina
Area Health Education Center programs. In 2007 the
Foundation will look at competency development, practice
errors, and risk for practice breakdown during this critical transi-tion
period. Using the findings, the Foundation will try to iden-tify
the factors that contribute most significantly to the develop-ment
of a safe, effective practitioner of nursing in this early peri-od
of employment and career development. In a later phase of
the project, the Foundation will use the information it has gath-ered
to study the effectiveness of interventions intended to max-imize
this transition for new graduates into a complex environ-ment
for health care delivery.
We welcome our newly elected Board members, Sara Griffith,
RN staff nurse, and Deborah Jenkins, LPN, on this journey to
regulatory excellence. Alexis Welch, RN, has been reelected as
an ADN/ Diploma nurse educator.
This is an exciting and critically important time in nursing
regulation. I am grateful for all our Board members, who volun-tarily
serve the citizens of the state through this important work.
Polly Johnson, RN, MSN, FAAN
It is with excitement that I enter my second
term as the Chair of your Board of Nursing. My
re- election platform, shared with my Board colleagues, was
based upon three C’s, and they are also my pledge to you:
COMMUNICATE . . . with you and each other to keep you
informed of Board activities and to seek your input;
COLLABORATE. . . with other licensing boards and profes-sional
colleagues to protect the health and well being of our
citizens;
COMMIT . . . my time and energy to moving us forward as
one of the most productive and effective nursing boards in
the nation.
During the January meeting we welcomed two new mem-bers
to the Board: Sara Griffith, RN and Deborah Jenkins,
LPN. Sara is the mother of a new baby, a first for the Board
since I joined. Deborah returns to the Board after a one year
break in service – and we are happy to have her back!
Also, during our January meeting we celebrated another first – the move to a paperless meeting. All Board members
were oriented to their new laptop computers and accompanying software prior to the meeting. We worked between paper
packets and electronic documents to get acclimated to the change during this meeting. It was a smooth transition, wonder-fully
facilitated by several members of the Board’s staff.
I look forward to the coming year, and I invite your comments and concerns.
Beverly Foster, PhD, RN
8 { Of f i c i a l Publication of the NORTH CAROLINA Board of Nursing } . . . . . . . . . . . . . . . . . . . . . . . . . . . .
f r o m t h e C h a i r
2007 Board
( Standing L to R) Paul Rusk,
Ramona Whichello, Carolyn
Moffett, Mary Ann Fuchs,
Gale Adcock, Lynn
Lancaster, Deborah Jenkins,
Sara Griffith, Janice Floyd
and Dan Hudgins ( Front row
L to R) Cindy Morgan,
Beverly Foster, Alexis
Welch, Martha Ann Harrell
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . NC
Elected Members take office
Alexis B. Welch, RN
Alexis B. Welch,
RN was re- elected to
a second term on the
Board of Nursing.
She is currently the
Dean of Health
Sciences at Lenoir
Community College and Director of the
ADN and PN nursing programs. Welch’s
clinical experience includes: critical care, geri-atrics,
medsurg, home health and psych.
She has been a licensed RN for more than
31 years in North Carolina. “ My desire for
unparalleled nursing care is influenced by my
roles as a consumer, mother, daughter and
friend,” Welch notes.
Deborah
L. Jenkins,
LPN
Deborah L.
Jenkins, LPN is
returning to the
Board. She was
first elected to the Board for a one
year term in 2004. A graduate of
Durham Technical Community
College, Jenkins has experience in
pediatrics, adult medicine, dermatol-ogy,
IV therapy and pharmacology.
Currently she works at Durham
Pediatrics, a division of Duke
University Health Systems. Jenkins
has also served as a Director and
President of the North Carolina LPN
Assoc., Durham region. “ I enjoy the
decision making process which serves
to uphold and maintain the quality and
integrity of the nursing profession,”
reports Jenkins.
Sara A. Griffith, RN
Sara A. Griffith, RN is newly elected to the Board of Nursing.
Griffith is a staff nurse with Wake Medical Health and Hospitals in
Raleigh. She received her BSN in nursing from East Carolina
University and is currently seeking her Master of Science in
Nursing from the same University. She is experienced in trau-ma/
general/ vascular surgery as well as cardiovascular surgical
nursing. “ I welcome this opportunity to serve and to address situations related to
the health, safety and welfare of the public,” Griffith said.
12 { Official Publication of the NORTH CAROLINA Board of Nursing } . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
As previously reported in the Nursing
Bulletin, an overwhelming majority of nurses voting in the
Board’s election are pleased that we offer incentives to those who take the time and make the
effort to vote. This year we are happy to announce that two properties have made generous
donations in support of nurses in North Carolina. The first is the Chetola Resort in Blowing
Rock, North Carolina. The second incentive is offered by The Franklin Hotel, a newly opened
luxury hotel in Chapel Hill, North Carolina.
As in the past, in order to receive one of these terrific stress reduction getaways, you must
vote in the 2007 Board election which beings July 1 and ends August 15th.
E L E C T I O N I N C E N T I V E S F O R 2 0 0 7
Winter Escape in
Blowing Rock
Through March 24th
Three days/ two nights in Chetola Lodge,
Chetola Condos or Bob Timberlake Inn.
Includes: Chetola Movie Bucket
$ 25 Tanger Outlet Gift Card,
Discount certificate for the Bob
Timberlake Galleries.
Two night packages start at $ 264 in
Chetola Lodge
$ 275 in Chetola Condos
$ 425 in Bob Timberlake Inn.
N. Main Street
Blowing Rock, NC
800- CHETOLA
www. chetola. com
􀁃 􀁒 􀁅 􀁁 􀁔 􀁅 􀁁 􀁎 􀁅 􀁗 􀁔 􀁒 􀁁 􀁄 􀁉 􀁔 􀁉 􀁏 􀁎
􀀥 􀁘 􀁐 􀁅 􀁒 􀁉 􀁅 􀁎 􀁃 􀁅 􀀣 􀁈 􀁁 􀁐 􀁅 􀁌 􀀨 􀁉 􀁌 􀁌 􀀡 􀁓 􀀮 􀁅 􀁖 􀁅 􀁒 􀀢 􀁅 􀁆 􀁏 􀁒 􀁅
􀀯 􀀰 􀀸 􀀸 􀀦 􀀭 􀀤 􀀰 􀀮 􀀪 􀀯 􀀨 􀀨 􀀶 􀀦 􀀴 􀀵 􀀴
􀀤 􀁐 􀁎 􀁆 􀁂 􀁏 􀁅 􀁅 􀁊 􀁔 􀁄 􀁐 􀁗 􀁆 􀁓 􀀵 􀁉 􀁆 􀀧 􀁓 􀁂 􀁏 􀁌 􀁍 􀁊 􀁏 􀀩 􀁐 􀁕 􀁆 􀁍 􀀍 􀁂 􀁑 􀁓 􀁆 􀁎 􀁊 􀁆 􀁓 􀁆 􀁍 􀁖 􀁙 􀁖 􀁓 􀁚
􀁃 􀁐 􀁖 􀁕 􀁊 􀁒 􀁖 􀁆 􀁉 􀁐 􀁕 􀁆 􀁍 􀁐 􀁏 􀁉 􀁊 􀁔 􀁕 􀁐 􀁓 􀁊 􀁄 􀀧 􀁓 􀁂 􀁏 􀁌 􀁍 􀁊 􀁏 􀀴 􀁕 􀁓 􀁆 􀁆 􀁕 􀁊 􀁏 􀁕 􀁉 􀁆 􀁉 􀁆 􀁂 􀁓 􀁕 􀁐 􀁇
􀁅 􀁐 􀁘 􀁏 􀁕 􀁐 􀁘 􀁏 􀀤 􀁉 􀁂 􀁑 􀁆 􀁍 􀀩 􀁊 􀁍 􀁍 􀀏 􀀴 􀁊 􀁎 􀁑 􀁍 􀁆 􀁖 􀁏 􀁅 􀁆 􀁓 􀁔 􀁕 􀁂 􀁕 􀁆 􀁅 􀁆 􀁍 􀁆 􀁈 􀁂 􀁏 􀁄 􀁆 􀁘 􀁊 􀁕 􀁉
􀁂 􀁅 􀁊 􀁔 􀁕 􀁊 􀁏 􀁄 􀁕 􀁊 􀁗 􀁆 􀁄 􀁍 􀁂 􀁔 􀁔 􀁊 􀁄 􀁔 􀁕 􀁚 􀁍 􀁆 􀁊 􀁏 􀁂 􀁘 􀁂 􀁓 􀁎 􀀍 􀁊 􀁏 􀁗 􀁊 􀁕 􀁊 􀁏 􀁈 􀁂 􀁕 􀁎 􀁐 􀁔 􀁑 􀁉 􀁆 􀁓 􀁆 􀀏
􀀫 􀁖 􀁔 􀁕 􀁔 􀁕 􀁆 􀁑 􀁔 􀁂 􀁘 􀁂 􀁚 􀁇 􀁓 􀁐 􀁎 􀁆 􀁗 􀁆 􀁓 􀁚 􀁕 􀁉 􀁊 􀁏 􀁈 􀀏
Come and discover The Franklin
Hotel, a premiere luxury boutique
hotel on historic Franklin Street in the
heart of downtown Chapel Hill. Simple
understated elegance with a distinctive
classic style in a warm, inviting atmos-phere.
Just steps away from everything.
Beautifully appointed guestrooms and luxurious penthouse
suites with private balconies and stunning view, exceptional
amenities, comforts and conveniences, exquisite meeting and
event space, fully equipped fitness center and executive business
center, in- room spa service, unsurpassed attention to detail and
personalized service with a gracious and dedicated staff.
Relax in elegant surroundings at Roberts At The Franklin lobby
bar and patio, a perfect gathering place with charming sidewalk
views, jazz piano and fireplace; and enjoy a sumptuous breakfast
menu at Windows Restaurant amidst lovely views of Franklin
Street. We look forward to welcoming you.
􀁃 􀁒 􀁅 􀁁 􀁔 􀁅 􀁁 􀁎 􀁅 􀁗 􀁔 􀁒 􀁁 􀁄 􀁉 􀁔 􀁉 􀁏 􀁎
􀀥 􀁘 􀁐 􀁅 􀁒 􀁉 􀁅 􀁎 􀁃 􀁅 􀀣 􀁈 􀁁 􀁐 􀁅 􀁌 􀀨 􀁉 􀁌 􀁌 􀀡 􀁓 􀀮 􀁅 􀁖 􀁅 􀁒 􀀢 􀁅 􀁆 􀁏 􀁒 􀁅
Pack your
bags!
NOMINATION FORM for 2007ELECTION
Nomination of Candidate for Membership on the North Carolina Board of Nursing for 2007
Although we have just completed a successful Board of Nursing election, we already are
getting ready for 2007. Next year the Board will have three openings: one for an RN who is
a nurse administrator in a hospital or a hospital system; one for an RN who is a nurse edu-cator
in a BSN or higher degree nursing program; and one for an LPN. This nomination
form is for you to tear out and use. The form must be completed and postmarked on or
before April 1, 2007. Following are instructions for completing the form and guidelines for
nominations. Be sure to follow all the instructions.
Instructions
Nominations for both RN and LPN positions shall be made by submitting a completed
petition signed by no fewer than 10 RNs ( for an RN nominee) or 10 LPNs ( for an LPN nomi-nee)
eligible to vote in the election. The minimum requirements for an RN or an LPN to
seek election to the Board and to maintain membership on it are as follows:
1. Hold a current unencumbered license to practice in North Carolina
2. Be a resident of North Carolina
3. Have a minimum of five years of experience in nursing
4. Have been engaged continuously in a position that meets the criteria for the specified
Board position, for at least three years immediately preceding the election, except for
the RN at- large position
Minimum ongoing- employment requirements for the RN or LPN member shall include con-tinuous
employment equal to or greater than 50% of a full- time position that meets the
criteria for the specified Board member position, except for the RN at- large position.
If you are interested in being a candidate for one of the positions, visit our website at
www. ncbon. com for additional information, including a Board Member Job Description and
other Board- related information. You also may contact Angela Ellis, executive assistant, at
angela@ ncbon. com or ( 919) 782- 3211, ext. 259. After careful review of the information
packet, you must complete the nomination form and submit it to the Board office by April
1, 2007.
Guidelines for Nominations
1. RNs can petition only for RN nominations and LPNs only for LPN nominations.
2. Only petitions submitted on the nomination form will be considered. Photocopies or
faxes are not acceptable.
3. The certificate number of the nominee and each petitioner must be listed on the form.
( The certificate number appears on the upper right- hand corner of the license.)
4. Names and certificate numbers ( for each petitioner) must be legible and accurate.
5. Each petition shall be verified with the records of the Board to validate that each nomi-nee
and petitioner holds appropriate North Carolina licensure.
6. If the license of the nominee is not current, the petition shall be declared invalid.
7. If the license of any petitioner listed on the nomination form is not current, and that
finding decreases the number of petitioners to fewer than ten, the petition shall be
declared invalid.
8. The envelope containing the petition must be postmarked on or before April 1, 2007,
for the nominee to be considered for candidacy. Petitions received before the April 1,
2007, deadline will be processed on receipt.
9. Elections will be held between July 1 and August 15, 2007. Those elected will begin their
terms of office in January 2008.
Please complete and return nomination forms to 2007 Board Election, North Carolina
Board of Nursing, P. O. Box 2129, Raleigh, NC 27602- 2129.
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . NC
We, the undersigned currently licensed nurses, do hereby petition for the name of ________________________________, RN/ LPN
( circle one), whose Certificate Number is ______________________, to be placed in nomination as a Member of the N. C. Board of
Nursing in the category of ( check one):
RN— Nurse Administrator in Hospital or Hospital System RN- BSN/ Higher Degree Nurse Educator LPN
Address of Nominee __________________________________________________________________
Telephone Number: ( Home) _______________________ ( Work) _____________________________
E- mail Address: ______________________________________________________________________
PETITIONERS - ( At least 10 petitioners per candidate required. Only RNs may petition for RN nominations; only LPNs may petition for
LPN nominations.) TO BE POSTMARKED ON OR BEFORE APRIL 1, 2007
NAME SIGNATURE CERTIFICATE NUMBER
____________________ ____________________ ____________________
____________________ ____________________ ____________________
____________________ ____________________ ____________________
____________________ ____________________ ____________________
____________________ ____________________ ____________________
____________________ ____________________ ____________________
____________________ ____________________ ____________________
____________________ ____________________ ____________________
____________________ ____________________ ____________________
____________________ ____________________ ____________________
____________________ ____________________ ____________________
Please complete and return nomination forms to 2007 Board Election, North Carolina Board of Nursing, P. O. Box 2129, Raleigh, NC 27602- 2129
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . NC
THE NORTH CAROLINA BOARD OF NURSING AND
THE NORTH CAROLINA DIVISION OF FAC I L I T Y S E R V I C E S
Joint Position Statement
ONNURSINGWORKENVIRONMENTS
BACKGROUND:
Nursing work environments have been consistently linked to
patient safety. The Institute for Safe Medication Practices ( ISMP)
affirmed in 2005 that “ long work hours and the fatigue that results
represent a serious threat to patient safety.”
The Institute of Medicine ( 2003), in addressing the work envi-ronment
of nurses, noted that long work hours pose a threat to
patient safety. They noted that fatigue slows reaction time, dimin-ishes
attention, and contributes to medical errors. This study con-cluded
that the elimination of mandatory overtime is essential to
patient safety and to the health and well- being of nurses.
The NC Institute of Medicine ( NCIOM) Task Force on the
North Carolina Nursing Workforce Report ( May 2004) recom-mended
as a “ high priority” that the North Carolina Board of
Nursing ( BON) and North Carolina Division of Facility Services
( DFS) work together to implement regulations to address nurses
working excessive hours in the provision of direct patient care. As
noted in the NCIOM Executive Summary, orientation and super-vised
on- the- job training are essential in helping new nurses or
nurses working in unfamiliar environments understand their job
responsibilities and obtain the confidence and skills necessary to
provide quality care.
The missions of the BON and DFS have guided their approach
to this issue. The assurance of the protection, well- being, and safe-ty
of the public receiving care in diverse healthcare settings is a
shared responsibility. The BON regulates the delivery of safe, effec-tive
nursing care. The DFS regulates and ensures the safe, adequate
care of people in medical, mental health, and group care facilities.
In response to the NCIOM recommendation, a “ think tank”
was convened in October 2004 to discuss implications and con-cerns
related to limitation of working hours. A core group was then
identified to review and explore the relevant literature, employer
data, and existing legislation. This group recommended that a joint
position statement be developed and that the BON provide clarifi-cation
to nurses who question limitations on work hours and
mandatory overtime.
PURPOSE:
The purpose of this Joint Statement on Nursing Work
Environments is to provide guidance to administrators, managers,
and direct care nurses within NC healthcare facilities as they work
together in assuring the development and maintenance of safe
work environments.
STATEMENT:
Extended work hours, whether mandatory or voluntary, pose a
significant threat to patient safety. The BON statement on
“ Extended Work Hours and Patient Safety” ( available at
http:// www. ncbon. com/ prac- rnfaq) should be used as a guide for
nurses in deciding whether to accept an assignment and for man-agers
in deciding whether to make an assignment. Refusing to
work mandatory overtime does not constitute patient abandon-ment.
Once accepted, however, assignments must be fulfilled until
reported off to another nurse. Nurses and managers need to avoid
overtime hours if either has reason to believe that the licensee is
sleep deprived or performance is otherwise compromised. Nurses
must communicate safety concerns clearly to managers, and those
working in more than one job must exercise caution in self- regulat-ing
their total hours worked. It is the position of the BON and
DFS that work hours must be managed by all concerned with an
emphasis on safe patient care.
Education and training are essential in maintaining and
improving nursing competencies. Agency- specific learning begins
with a thorough orientation and extends as assignments change
throughout the employment relationship. In addition, an effective,
timely orientation must be provided for contract and float nurses if
they are to ensure patient safety. The limitations of nurses working
CONTINUED ON PAGE 18
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . NC
SUMMARY of ACTIONS
In keeping with public records and open meetings laws, the North Carolina Board of Nursing posts all actions in the Nursing Bulletin
or on its website, at www. ncbon. com. A regular meeting of the Board was held on on on January 26, 2007, in Raleigh. The following is
a summary of the Board’s actions.
From the January 26, 2007, Board Meeting
ADMINISTRATIVE MATTERS
• Approved revisions to 21 NCAC
36.0812, Disciplinary Action, for final
review and action by the Rules Review
Commission
• Approved proposed language to seek the
following legislative changes to the
Nursing Practice Act during the 2007
General Assembly ( words with
strikethroughs represent deletions, words
with underlines represent additions):
Authorization for the Board to pur-chase
property: G. S. 90- 171.23( b) is
amended by adding a new subdivision to
read as follows:
“( b) . . . the Board is empowered to:
( 21) Acquire, hold, rent, encumber,
alienate, and otherwise deal with real
property in the same manner as a pri-vate
person or corporation, subject
only to approval of the Governor and
the Council of State as to the acqui-sition,
rental, encumbering, leasing,
and sale of real property. Collateral
pledged by the Board for an encum-brance
is limited to the assets,
income, and revenues of the Board.”
Authorization for the Board to establish
prerequisites for medication aide appli-cants:
G. S. 90- 171.56, Medication
Aide Requirements, is amended to read
as follows:
“ The Board of Nursing shall do the fol-lowing:
( 1) Establish standards for faculty
requirements for medication aide train-ing;
and
( 2) Establish applicant requirements for
medication aide training; and
( 3) Provide ongoing review and evalua-tion,
and recommend changes, for facul-ty
and medication aide training require-ments
to support safe medication admin-istration
and improve client, resident,
and patient outcomes.”
Authorization for the Board to use hear-ing
panels: G. S. 90- 171.56, Medication
Aide Requirements, is amended to read
as follows:
§ 90- 171.37A. Use of Hearing Panels.
“( a) The Board, in its discretion, may
designate three or more of its mem-bers,
the majority of whom shall be
licensed nurses, to conduct show
cause or contested case hearings.
( b) Hearings conducted pursuant to this
section shall be conducted in accor-dance
with Article 3A of Chapter
150B of the General Statutes and
rules adopted by the Board.
( c) Notwithstanding G. S. 150B- 40( b)
requiring that hearings be conducted
by a majority of the Board, the hear-ing
panel shall make a final agency
decision that contains findings of fact
and conclusions of law.
( d) Appeal from a decision of the hear-ing
panel shall be made pursuant to
Article 4 of Chapter 150B of the
General Statutes.“
Authorization for Board staff to serve
legal papers: G. S. 90- 171.23( b) is
amended by adding a new subdivision to
read:
“( b) . . . the Board is empowered to:
( 22) Designate one or more of its
employees to serve papers and sub-poenas
issued by the Board. Service
under this subsection is in addition to
any other methods of service permit-ted
by law.”
• Directed staff to gather further data
related to proposed changes to 21
NCAC 36.0318, Faculty, and submit a
report to the full Board at the May 2007
Board meeting.
RATIONALE: The North Carolina
Community College System requested a
review of the proposed language based
on the National League of Nursing
Accreditation Commission standards,
which recognize experienced clinicians
and allow them to be considered as
approved instructors on a case- by- case
basis if their academic qualifications and
experience are equivalent to a master’s
degree, even if they do not hold that
degree.
• Approved proposed changes to
Committee Structure and Function to
include creation of a Finance and Audit
Committee, transfer of Practice
Improvement and Regulation
Committee activities to staff, and cre-ation
of Licensure Review Panels to
replace Licensure and Settlement com-mittees.
• Approved a Joint Position Statement on
Nursing Work Environments by the
North Carolina Division of Facility
Services and the North Carolina Board
of Nursing.
RATIONALE: The statement is intended
to provide meaningful guidance to
North Carolina health care facilities
personnel, administrators, and nurses in
ensuring that nursing work environ-ments
support safe practice and provide
protection for consumers of nursing
care.
EDUCATION/ PRACTICE MATTERS
Education Matters
• Ratified full approval status for the fol-lowing
nursing education programs:
Caldwell Community College and
Technical Institute, Hudson— ADN
Cape Fear Community College,
Wilmington— PNE
continued on the following page
18 { Of f i c i a l Publication of the NORTH CAROLINA Board of Nursing } . . . . . . . . . . . . . . . . . . . . . . . . . . .
SUMMARY of ACTIONS CONTINUED From the January 26, 2007, Board Meeting
Central Piedmont Community College,
Charlotte— ADN
Mayland Community College, Spruce
Pine— ADN
• Ratified expansion in enrollment in the
following nursing education programs:
Beaufort County Community College,
Washington— PNE: an increase from 20
to 30, effective fall 2007
ECPI College of Technology, Raleigh—
PNE: an increase from 60 to 110, alter-nate
evening/ weekend schedule, effec-tive
fall 2006
Fayetteville Technical Community College,
Fayetteville— PNE: an increase from 67
to 83, effective fall 2006
UNC at Chapel Hill— BSN: an increase
from 330 to 380, effective spring 2007
Wake Technical Community College,
Raleigh— ADN: 11 students in one clini-cal
group, for Spring 2006 semester only
• Assigned full approval status on the
basis of 2006 NCLEX pass rates:
Durham Technical Community College,
Durham— PNE: 74% ( 2005) and 97%
( 2006)
Gardner- Webb University, Boiling
Springs— ADN: 72% ( 2005) and 83%
( 2006)
North Carolina Central University,
Durham— BSN: 65% ( 2005) and 82%
( 2006)
Robeson Community College,
Lumberton— ADN: 57% ( 2005) and
96% ( 2006)
Wilkes Community College, Wilkesboro—
ADN: 65% ( 2005) and 86% ( 2006)
• Assigned warning status on the basis of
2006 NCLEX pass rates:
Bladen Community College, Dublin—
ADN: 53%
Foothills Nursing Consortium, Spindale—
ADN: 71%
Randolph Community College,
Asheboro— ADN: 71%
Rockingham Community College,
Wentworth— ADN: 74%
Vance- Granville Community College,
Henderson— ADN: 74%
• Assigned warning status on the basis of
2005 and 2006 NCLEX pass rates:
North Carolina A& T State University,
Greensboro— BSN: 69% ( 2005) and
69% ( 2006)
EDUCATION- RELATED ACTIONS
• Ratified mail referendum for faculty
approval: Piedmont Community College,
Roxboro
• Faculty approval of Michael Langston
COMPLIANCE MATTERS
• Received reports and granted absolu-tions
to 4 RNs
• Removed probation from the license of
7 RNs and 9 LPNs
• Accepted voluntary surrenders from 17
RNs and 4 LPNs
• Suspended the license of 11 RNs and 5
LPNs
• Reinstated the license of 9 RNs and 2
LPNs
Number of participants in the Alternative
Program for Chemical Dependency: 118
RNs and 12 LPNs
Number of participants in the Chemical
Dependency Program: 62 RNs and 3 LPNs
Number of participants in the Illicit Drug
Program: 38 RNs and 15 LPNs
For the Board’s information: A revised
advisory statement on Surgical First Assist
is available online at www. ncbon. com, in
the Practice Department section, or by
calling ( 919) 782- 3211 ext. 244.
with unfamiliar patient populations and circumstances must be rec-ognized
and addressed as assignments are negotiated.
The BON and DFS support creative solutions that proactively
address nursing work environment issues. Administrators, man-agers,
and direct care nurses are encouraged to collaborate to find
safe solutions to these challenges. Agency leaders and nurses share
in this responsibility to assure that the appropriate environmental
systems and supports are implemented. Patients need and deserve
nurses who are supported in their ability to deliver safe, effective,
quality patient care. Both the BON and DFS are committed to
ensuring that North Carolina patients receive effective care in a
safe environment.
REFERENCES:
Institute for Safe Medication Practices ( ISMP). ( 2005). Exhausted
workforce increases the risk of errors. ISMP Nurse Advise- ERR,
3 ( 12). Accessed June 10, 2006. http:// www. ismp. org/ newslet-ters/
nursing/ articles/ 2005_ 12_ 01. asp
Institute of Medicine ( IOM). ( 2003). Keeping Patients Safe:
Transforming the Work Environment of Nurses. Washington,
D. C.: National Academy Press.
North Carolina Board of Nursing ( NCBON). ( 2002). Questions
Regarding Short Staffing and Abandonment. Accessed December
8, 2006. http:// www. ncbon. com/ prac- rnistate. asp
North Carolina Board of Nursing ( NCBON). ( 2006). Extended
Work Hours and Patient Safety. Accessed December 8, 2006.
http:// www. ncbon. com/ prac- rnfaq. asp
North Carolina Institute of Medicine ( NCIOM). [( 2004). Task
Force on the North Carolina Nursing Workforce Report.] Accessed
July 24, 2006. http:// www. nciom. org/ projects/ nursingwork-force/
nursingreport. html
CONTINUED FROM PAGE 15
{ Official Publication of the NORTH CAROLINA Board of Nursing } . . . . . . . . . 20 . . . . . . . . . . . . . . . . . . .
At their meeting on January 26, 2007, Board
members conducted business for the first time on
laptop computers. The software package, devel-oped
by Studio 361, allows members to view
reports, make comments, and maintain electronic
files of Board materials.
The Board has been working over the past sev-eral
years to streamline work processes and use
technology to increase efficiency, minimize Board
expenses, and enhance communication between
Board members and staff.
Beginning in May 2007, the Board will post
meeting documents to its website,
www. ncbon. com, along with the agenda. People
attending the Board meetings will be able to down-load
materials for review.
This is perhaps the most beauti-ful
time in human history; it is
really pregnant with all kinds of
creative possibilities made possi-ble
by science and technology
which now constitute the slave of
man – if man is not enslaved by it.}
JONAS SALK, M. D.
Developer of Polio Vaccine
Board Conducts
Business on
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . NC
EILEEN C. KUGLER, RN, MSN, MPH, FNP,
Education/ Practice Consultant
With the growing recognition that
health status affects a child’s ability to learn
and to succeed, and with increasing num-bers
of students with chronic health condi-tions
in the schools, the demand for school
nursing services has grown rapidly and
steadily in recent years. School nurses in
North Carolina are registered nurses and
may be employed by local education agen-cies
( LEAs), local health departments,
local health alliances, hospital systems, or
private schools. Those employed by LEAs
must be certified in school nursing by
either the American Nurses Credentialing
Center or the National Association of
School Nurses within three years of
employment.
The role of the school nurse is broad
and multifaceted. School nurses are in a
unique position to influence health policy
in the school environment as well as the
health status of students, faculty, and staff.
The National Association of School Nurses
lists seven roles of the school nurse: provid-ing
direct health care to students and staff,
providing leadership for the provision of
health services, providing screening and
referral for health conditions, promoting a
healthy school environment, promoting
health, providing leadership for health
policies and programs, and serving as a liai-son
between school personnel, family, com-munity,
and health care providers.
School nurses provide case management,
evaluate performance of activities of daily
living, and develop appropriate modifica-tions
for a student’s learning environment.
Also, they are prepared to treat injuries and
illnesses that are common occurrences in
the school- aged population.
Students with special health care needs
have the right to receive special health
care from qualified and adequately trained
personnel.
Ongoing evaluation and assessment of
the appropriateness of special health care
services must be provided in order to
ensure the safety and the appropriate place-ment
of these students. In 16 NCAC
6D. 0402( a), the North Carolina
Administrative Code stipulates, “ Each LEA
shall make available a registered nurse for
assessment, care planning, and on- going
evaluation of students with special health
care service needs in the school setting.” It
defines special health care services as
including “ procedures that are invasive,
carry reasonable risk of harm if not per-formed
correctly, may not have a pre-dictable
outcome, or may require additional
action based on results of testing or moni-toring.”
In 16 NCAC 6D. 0402 ( b), the
code states, “ Care planning includes but is
not limited to: 1) identification of appro-priate
person( s) to perform the procedure;
2) teaching those persons to perform the
procedure; and 3) identification of a mech-anism
for registered nurses to provide ongo-ing
supervision to ensure the procedure is
performed appropriately and monitoring
the student’s response to care provided in
the school setting.”
Some medically fragile students require
one- on- one nursing care in the school set-ting.
Students with chronic illness, physical
handicaps, and/ or disabilities may require
the performance of invasive health care
procedures during the school day ( e. g., uri-nary
catheterization, suctioning, tra-cheostomy
care, nasogastric or gastrostomy
tube feedings, stoma care, blood glucose
monitoring, oxygen therapy, and nebulizer
treatments). Students may also require
medication daily on a long- term basis ( e. g.,
Ritalin, lithium, other psychotropic or
seizure medications, insulin, and controlled
substances), or for emergency treatment
( e. g., asthma inhalers and epinephrine
injections). Secretaries, counselors, class-room
teachers, and teaching assistants are
the primary people who administer medica-tions
daily in the majority of school sys-tems.
It is important that a school nurse be
available to review and participate in the
THE CHALLENGES OF MEETING HEALTH CARE
NEEDS OF STUDENTS IN THE
SCHOOL SETTING
STUDENTS WITH SPECIAL HEALTH CARE
NEEDS HAVE THE RIGHT TO RECEIVE
SPECIAL HEALTH CARE FROM QUALIFIED
AND ADEQUATELY TRAINED PERSONNEL.
22 { Of f i c i a l Publication of the NORTH CAROLINA Board of Nursing } . . . . . . . . . . . . . . . . . . . . . . . . . . . .
development of school policy and proce-dures,
train and supervise teachers and other
staff about all aspects of giving medications
correctly, and serve as a coordinator among
parents, medical providers, and the school.
Meeting health needs in a school envi-ronment
is challenging. Delegation of care
to unlicensed assistive personnel becomes
necessary to support the individual health
care plans developed by the school nurse.
Delegation occurs when the school nurse
cannot be available to IMPLEMENT the
necessary interventions. It is not appropriate
for the school nurse to delegate any other
elements of the nursing process because
these require the skill and the knowledge of
the professional nurse. The school nurse uses
professional judgment consistent with both
nursing and school law in North Carolina to
decide what nursing care may be delegated
and to whom.
Rule 21 NCAC 36.0221, License
Required, outlines the criteria that must be
met before delegation of tasks to unlicensed
personnel. Tasks may be delegated to an
unlicensed person that
“( 1) frequently recur in the daily care of a
client or group of clients;
( 2) are performed according to an estab-lished
sequence of steps;
( 3) involve little or no modification from
one client- care situation to another;
( 4) may be performed with a predictable
outcome; and
( 5) do not inherently involve ongoing
assessment, interpretation, or decision-making
which cannot be logically separat-ed
from the procedure( s) itself.”
The role of the school nurse is to assess
the health needs of the child and to coordi-nate
with staff, family, health care providers,
and community agencies in order to provide
a coordinated school health program that
facilitates the maximum educational oppor-tunity
for the student. When the school
nurse determines that delegation is appropri-ate,
he or she must ascertain the competence
of the delegatee before delegating any tasks.
Assessment, evaluation, and nursing judg-ment
must not be delegated. Supervision,
monitoring, evaluation, and follow- up by the
nurse are crucial components of delegation.
The delegatee is accountable for accepting
the delegation and for his or her own actions
in carrying out the tasks.
Nurses can use the Five Rights of
Delegation— Right Task, Right
Circumstances, Right Person, Right
Direction/ Communication, Right
Supervision/ Evaluation— as a mental check-list
for remembering the essential elements
of delegation. If you are a school nurse and
have questions about nursing regulation,
contact a practice consultant at ( 919) 782-
3211.
Following are some references that may
be helpful in gaining a better understanding
of the delegation process:
American Nurses Association and National
Council of State Boards of Nursing. Joint
Statement on Delegation.
www. ncsbn. org/ pdfs/ Joint_ statement. pdf
National Association of School Nurses.
Position Statement: Delegation.
www. nasn. org/ Default. aspx? tabid= 349
North Carolina Board of Nursing.
Delegation: Decision Making Tools and
Process. www. ncbon. com/ prac-delegate.
asp
Kathy Chastain, RN, MN, practice consultant, con-tributed
to this article.
Looking for
Nurse/ Artists
If you are a nurse and an artist ( you don’t
have to be a professional artist), consider pro-ducing
a cover for the Nursing Bulletin. Each
issue of the magazine features an original piece
of art by a North Carolina artist. We try to highlight some aspect of nursing. The fall
2006 issue featured a nurse midwife. Other covers have highlighted nurse practitioners,
home health nurses, and the like.
We hope to feature school nurses on the cover of the spring 2007 issue, but other
ideas are welcome. If you are a nurse who might be interested in producing a cover, or
if you know such a nurse, please contact me, David Kalbacker, editor, at
david@ ncbon. com and send me a couple of samples of your work. My mailing address
is David Kalbacker, N. C. Board of Nursing, P. O. Box 2129, Raleigh, NC 27602. Please
include a telephone number or an e- mail address where I may contact you. Samples will
not be returned unless you specifically request that they be.
If you are selected to do a cover, the final art must be 17" x 22". And yes, we will pay
you for your creative efforts.
VOLUME 2 { NO2} EDITION 5
{ Official Publication of the NORTH CAR OLINA Board of Nursing} . . . . . . . . . . . . . . . . WIN TER
06
OnlineNCLEX Application Launched
Online
CONFERENCE
PATIENT SAFETY
CONFERENCEsee page 6
VOLUME2 { NO 1} EDIT ION 4
{ Official Publication of the N ORTH C AROLINABoard of Nursing} . . . . . . . . . . . . . . . . FALL
05
REQUIREMENT
by N. C. LEGISLATURE
COM PETENCE
CONTINUING
COMPETENCE
ELECTION RESULTS FOR 2005 NCLEX item writers
of NC
The following nurses represented North
Carolina in the NCLEX item develop-ment
program for the first quarter of FY
2007: Carolyn Baker, John Stevens,
Carolyn McCormick and alternate
Becky Ann Foushee. These individuals
either reviewed or helped write items for
the NCLEX exam.
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . NC
During my second year of nursing school our pro-fessor
gave us a quiz. I breezed through the ques-tions
until I read the last one: " What is the first
name of the woman who cleans the school?"
Surely this was a joke. I had seen the cleaning
woman several times, but how would I know her
name? I handed in my paper, leaving the last ques-tion
blank. Before the class ended, one student
asked if the last question would count toward our
grade. " Absolutely," the professor said. " In your
careers, you will meet many people. All are signifi-cant.
They deserve your attention and care, even if
all you do is smile and say hello." I've never for-gotten
that lesson. I also learned her name was
Dorothy. – JOANN C. JONES
the BREAK
r o o m It looks like Kathy
has lost her name
badge again!
24 { Official Publication of the NORTH CAROLINA Board of Nursing } . . . . . . . . . . . . . . . . . . . . . . . . . . . .
The North Carolina Board of Nursing and the North
Carolina Medical Board approved nurse practitioner rules in
August 2004. Recently the rules were reviewed and updated.
You can locate the revised rules by visiting the Board of
Nursing’s website, www. ncbon. com.
Nurse practitioner rule 21 NCAC 36.0812 ( Board of
Nursing) or 21 NCAC 32M. 0112 ( Medical Board) also has been
undergoing review. A public hearing was held on January 17,
2007. If the Board of Nursing and the Medical Board approve
the rule, it will become effective on April 1, 2007. The changes
in this rule set forth further grounds for disciplinary action con-sistent
with G. S. 90- 14( a), as requested by the 2006 General
Assembly, and list options for action that may be taken by the
Board of Nursing or the Medical Board.
UPDATED
N U R S E P R A C T I T I O N E R
RULES
This program offers scholarship- loans for gradu-ate
students interested in becoming nursing instruc-tors
at North Carolina community colleges or
four- year North Carolina colleges or universi-ties.
This program is strictly merit- based:
financial need is not a criterion.
Recipients must be North Carolina
residents for tuition purposes.
The program provides funding, up
to $ 15,000 per year for two years of
master’s coursework or three years of
doctoral coursework, for students purs-ing
degrees to teach nursing in North
Carolina colleges and universities.
Recipients must be enrolled FULL TIME in nursing
education or another area that prepares students to teach
nursing at the associate or baccalaureate degree level at
two- year or four- year colleges with nursing programs. In
addition, recipients must agree to teach in a North
Carolina nursing program upon completion of the nursing
education program supported by the scholarship.
The program is administered by the State Education
Assistance Authority. Applications, deadlines, eligibility
requirements, repayment requirements and additional
details about the program can be found at
www. CFNC. org/ NET.
{ N O R T H C A R O L I N A B o a r d o f N u r s i n g }
.. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. . NC
F O U R T H A N N U A L E D U C AT I O N S U M M I T
“ Expand Your TOOLBOX:
Strategic Use ofINFORMATICS”
FEATURED SPEAKERS
Diane Skiba, PhD, FAAN, FACMI, will focus on Net
Generation learners and the use of technology to address
faculty shortages, working across programs, building of
infrastructure. and development of partnerships.
Janet Grady, DrPH, RN, will present the Virtual
Clinical Practicum, a Nursing Telehealth strategy incorpo-rating
technology for clinical experiences for initial nursing
education and continuing education to address decreased
numbers of clinical sites and lack of specialty experiences
( e. g., dealing with burns and complicated deliveries). This
strategy could be effectively used for both interdisciplinary
training/ practice opportunities and evaluation of clinical
competency.
OBJECTIVES
• To examine the benefits and the challenges associated
with using technology to provide clinical experiences
for nursing students
• To explore the challenges associated with teaching Net
Generation learners
• To describe strategies for integrating technology into
the curriculum
• To identify ways to provide educational experiences and
extend faculty resources with informatics tools
DATE AND PLACE:
April 2, 2007, Friday Center, Chapel Hill
For registration information, visit the Board’s website,
www. ncbon. com, or contact Linda Blain at
lindab@ ncbon. com or ( 919) 782- 3211 ext. 238.
TARGETED AUDIENCE: nursing faculty, preceptors, nursing
staff working with students, and staff development educators.
NURSE EDUCATORS OF TOMORROW S C H O L A R S H I P Program
I am submitting my license renewal application online, and my
friend is using a paper application for his renewal. Neither of
us can find directions for submitting our continuing competence self-assessment
and learning plan with our license renewal application.
What should we do?
You are required to complete a self- assessment and a learning plan
at the time of license renewal, but you do not submit these to the
Board. They are your personal records, and the Board will not ask to see
them. You should retain them, along with documentation of your appli-cable
learning activities, throughout your two- year licensure period. If
you are audited on completion of a two- year licensure cycle, you then
will submit evidence of completion of your chosen learning activities.
Self- assessment worksheets and a learning
plan template are available, along with
other continuing competence information,
at the Board’s website, www. ncbon. com/ prac- contcomp. asp. These are not interactive computer
forms, so you must print them for your use and complete them manually.
The Board requires continuing education “ contact hours,” but some of the programs I
attend offer “ continuing education units” ( CEUs). Are CEUs acceptable in meeting the
continuing competence requirements?
The Board accepts both contact hours and CEUs in any combination in fulfillment of con-tinuing
competence requirements for continuing education. One contact hour ( 1.0) is generally equal to 60 minutes of
instruction or study. One- tenth ( 0.1) of a CEU is generally equal to 60 minutes of instruction or study. Therefore, 0.1 CEU is
equal to 1.0 contact hour. This conversion can be used in totaling continuing education hours.
I have reviewed the online and Bulletin information concerning continuing competence, but I am still confused about
the requirements and the timelines. Where can I get additional information?
A free Board webcast titled “ Understanding Continuing Competence” is available at www. ncbon. com/ prac- contcompw-cast.
asp. You can view it online at your convenience. It offers 1.0 contact hour of credit and will clarify continuing compe-tence
requirements.
In addition, the Board is offering several free Continuing Competence Workshops in 2007 at locations across the state. These
allow time for interaction and questions from participants. The locations, dates, times, and registration information for these pre-sentations
are available on page 30 of this Bulletin.
A
s FQ
Frequently Asked
Questions
Q.
A.
Q.
A.
Q.
A.
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . NC
Board Meeting
May 17– 18, 2007
Education/ Practice
Committee
April 11, 2007
August 30, 2007
Licensure Review Panels
February 16, 2007
March 16, 2007
April 12, 2007
June 14, 2007
July 13,2007
Administrative Hearings
February 22– 23, 2007
April 26– 27, 2007
July 26– 27, 2007
NORTH CAROLINA BOARD OF NURSING CALENDAR
28 { Official Publication of the NORTH CAROLINA Board of Nursing } . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Name&
Address
C H A N G E
Please notify the Board
promptly of all name and
address changes.
Return form to: North Carolina board
of Nursing, Attn: Barbara Nelson, P. O.
Box 2129, Raleigh, NC 27602- 2129.
OR fax your form to: ( 919) 781- 9461
RN Cert. Number __________________________
Expiration Date __/__/____
LPN Cert. Number __________________________
Expiration Date __/__/____
NAII Listing Number ________________________
name: _________________________________________________________
( first) ( middle) ( last)
address:__________________________________________________________
city: ___________________ __________ state: ____ zip/ postal code: _________
date of birth: _________________ social security number: _____-____-______
other last names: __________________________________________________
daytime phone number: ___________________________
signature:_______________________________________ date: ____________
e- mail address:________________________________________
For RN and LPN only:
You are required to update the following information for each change of address submitted:
Primary State of Residence: ____________
Are you on active duty as an Armed Forces Nurse: ( circle one) YES NO
PLEASE NOTE THAT A DUPLICATE LICENSE REFLECTING THE CHANGES WILL NO LONGER BE ISSUED
BECAUSE THE BOARD WENT CARDLESS AS OF JANUARY 1, 2007.
A duplicate license is not required for a name change if less than 6 months remains on the
license, nor is a duplicate license required for an address change.
Print or type name ( no nickname) and address TO BE PRINTED on license or listing card.
30 { Of f i c i a l Publication of the NORTH CAROLINA Board of Nursing } . . . . . . . . . . . . . . . . . . . . . . . . . . . .
NC Board of Nursing Workshop Registration Form 2007
Please check the appropriate Workshop Below
Continuing Competence Update
( 1.0CHs)
Information sessions related to board
requirements for demonstration of continu-ing
competence. Seating limited.
No fee required for these sessions.
Questions/ Directions? Contact Paulette at
( 919) 782- 3211, ext. 244,
or via e- mail at PAULETTE@ ncbon. com.
If you unable to attend one of these
workshops, please go to:
http:// www. ncbon. com/ prac- contcompwcast. asp
to view the web cast available 24/ 7.
YOU WILL BE ABLE TO PRINT CONTINUING COMPETENCE
DOCUMENTS AND RECEIVE CONTACT HOURS.
Legal Scope of Practice ( 2.3CHs)
The purpose of this offering is to provide information and
clarification regarding the legal scope of practice parameters
for licensed nurses in North Carolina.
Orientation Sessions for Administrators
of Nursing Services and Mid- Level
Nurse Managers ( 4.6 CHs)
Information sessions regarding the func-tions
of the Board of Nursing and the
impact of these functions on the roles of
the chief nurse administrator and the mid-level
nurse manager in all types of nursing
service settings.
___ February 21, 2007
___ May 15, 2007
___ August 8, 2007
___ November 13, 2007
Registration at least two weeks in advance of a
scheduled session is required. If you wish to review materi-als
prior to the session, please call 919/ 782- 3211 ext. 238
( limit 20 people per session)
Questions/ Directions?
Contact: Linda Blain at 919/ 782- 3211 ext. 238
or via e- mail at LINDAB@ ncbon. com
NAME:____________________________________________________________
TITLE:____________________________________________________________
ORGANIZATION NAME:_____________________________________________
ADDRESS: ______________________________ STATE: ______ ZIP: _________
WORK PH#: (____)_______________ HOME PH#: (____)________________
HOME ADDRESS:__________________________________________________
CITY: _______________________________ STATE: ________ ZIP: _________
E- MAIL ADDRESS: __________________________________________________
Make checks payable to North Carolina Board of Nursing or pay by credit card. Registration fee covers course materials.
Credit Card Type: MasterCard Visa Expiration Date: Month: _____ Year: _____
Credit Card Number: __________________________________________________
Cardholder Name ( as it appears on Credit Card):___________________________________
Cardholder Billing Address: _____________________________________________
CITY: ________________________________ STATE: _________ ZIP: _________
Code:__________________ Total Amount: $____________________
Cardholder Signature: ________________________________________________
( Credit card payment cannot be accepted via fax or phone.)
( Raleigh- NCBON- 10am- 3: 55pm)
Role of the LPN in North Carolina
( 3.8CHs)
( Registration starts at 8: 00 a. m.;
workshop ends at 12: 45 p. m.)
The purpose of this offering is to provide an overview regarding
the role, responsibilities, and scope of practice of the licensed
practical nurse. Content will focus on the role of the LPN in
contrast to the RN, clarification of the LPN as a nurse- in-charge,
and the role of the LPN in orienting the nurse aide.
RNs who assign to LPNs and LPNs in any type of practice set-ting
are encouraged to attend.
_____ May 9, 2007
Central Carolina Comm College - Sanford
1101 Nash Street
Dennis A. Wicker Civic Ctr - Lecture Hall
____ November 5, 2007 - Boone
Watauga Med Ctr
336 Deerfield Road
Auditorium
Questions/ Directions? Contact: Linda Blain at
919/ 782- 3211 ext. 238
or via e- mail at LINDAB@ ncbon. com
ONLINE WORKSHOP!
GO TO WWW. NCBON. COM
UNDER RECENT ANNOUNCEMENTS, LOCATE
“ LEGAL SCOPE OF PRACTICE ONLINE COURSE”
CLICK ON THE LINK AND FOLLOW INSTRUCTIONS
Please Indicate the following: Title/ Date of Workshops
Registration fee: $ 40 per session per person, for all workshops
except Continuing Competence Update; NONREFUNDABLE ( unless
the workshop is cancelled) PLEASE PRINT ALL INFORMATION AND
MAIL TO: Administrative Secretary– Practice, NCBON, POB 2129,
Raleigh, NC 27602. Please give a complete address, for you will be
mailed a confirmation and/ or directions.
The North Carolina Board of Nursing
is an Approved Provider of continuing
nursing education by the North
Carolina Nurses Association, an
accredited approver by the
American Nurses Credentialing
Center’s Commission on Accreditation.
CONTACT HOUR CERTIFICATES WILL BE
PRESENTED TO PARTICIPANTS WHO ATTEND
WORKSHOPS IN THEIR ENTIRETY.
___ MAY 3, 2007 – PINEHURST – 11A – 12P
FirstHealth Moore Regional Hospital Conf Ctr
MONROE AUDITORIUM
NC HWY 211 & PAGE ROAD
Select only one session for June 6th
___ JUNE 6, 2007 – RALEIGH
N. C. BOARD OF NURSING BOARD ROOM
3724 NATIONAL DR., SUITE 201
___ Session One – 10a- 11a
___ Session Two - 1p- 2p
Select only one session for August 20th
___ AUGUST 20, 2007 – ELIZABETH CITY
ALBEMARLE HOSPITAL – EDUCATION CENTER
1144 NORTH ROAD STREET
___ Session One – 10a- 11a
___ Session Two - 1p- 2p
___ NOVEMBER 7, 2007 – WILMINGTON – 11A - 12P
COSTAL AHEC
2131 SOUTH 17TH STREET

VOLUME 3 { NO 2} EDITION 8
{ Of f i c i a l Publication of the NORTH CAROLINA Board of Nursing} . . . . . . . . . . . . . . . . WINTER
07
SSECTHTOIONGL
THE CHALLENGES OF
MEETING HEALTH CARE NEEDS
OF STUDENTS IN THE
WINTER 2007 BULLETIN
NC BOARD OF NURSING
Nursing Bulletin is the official
publication of the North
Carolina Board of Nursing.
Office Location
3724 National Drive, Ste 201
Raleigh, NC 27612
Mailing Address
P. O. Box 2129
Raleigh, NC 27602
Telephone
( 919) 782- 3211
Fax
( 919) 781- 9461
Automated Verification
( 919) 881- 2272
Website
www. ncbon. com
Office Hours
8 a. m. to 5 p. m.,
Monday through Friday
Board Chair
Beverly Foster, PhD, RN
Executive Director
Polly Johnson, RN, MSN, FAAN
Editor
David Kalbacker
Artists
Hobert Hampton
Paulette Young
Photography
DayMeetsNight Photography
Mission Statement
The North Carolina Board of
Nursing is committed to protecting
the health and well- being of the
public through regulating the deliv-ery
of safe, effective nursing care.
Advertisements contained here-in
are not necessarily endorsed by
the North Carolina Board of
Nursing. The publisher reserves the
right to accept or reject advertise-ments
for the Nursing Bulletin.
All art ( photos, paintings, draw-ings,
etc.) contained in this publi-cation
is used under contractual
agreement.
123,000 copies of this document
were printed and mailed for a cost
of $. 12 per copy
The North Carolina Board of
Nursing is an equal opportunity
employer.
CREATED BY:
Publishing Concepts, Inc.
14109 Taylor Loop Road
Little Rock, AR 72223
Virginia Robertson, President
vrobertson@ pcipublishing. com
FOR ADVERTISING INFORMATION:
Greg Jones
gjones@ pcipublishing. com
501.221.9986 • 800.561.4686
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . NC
VOLUME 3 { NO 1 } EDITION 8
Table of
AFQ
CONTENTS
s
Election Incentives
for 2007
24
12
Nomination Form
for 2007
13
21 Healthcare Needs of Students
27 Frequently Asked Questions
DEPARTMENTS: 6 l e t t e r s t o t h e e d i t o r 7 f r o m t h e e x e c u t i v e d i r e c t o r
8 f r o m t h e c h a i r 17 S u m m a r y o f A c t i o n s 23 t h e B r e a k R o o m 29 C l a s s i f i e d s
28 N a m e a n d a d d r e s s c h a n g e f o r m 30 2 0 0 7 W o r k s h o p R e g i s t r a t i o n F o r m
Joint Position
Statement on
Nursing Work
Environment
15
Nurse Educators of Tomorrow
Scholarship Program
25
Nurse Pr a c t i t i o n e r Ru l e s U p d a t e d
“ She loved people” I am writing to let you know that we
have lost a beautiful human being, my wife, Genevieve Lamb.
She was a nurse for more than thirty- five years and loved every
minute of it. She was dedicated to her profession and her
patients. She loved people, and people all loved her. We were
married for twenty- four beautiful years. I know someday we will
be together again. Till then, I am missing her each day. I just
can’t let her go without the nursing profession knowing that she
was “ one of the best.” If anyone loves what he or she is doing as
my wife did, and I know there are others, then we are truly
blessed with some terrific nurses in North Carolina.
BILL LAMB
Send letters to: Editor, Nursing
Bulletin, North Carolina Board of Nursing,
P. O. Box 2129, Raleigh, NC 27602- 2129 or
Email, david@ ncbon. com
e t t e r s
t o t h e
EDITO R L
{ Of f i c i a l Publication of the NORTH CAROLINA Board of Nursing } . . . . . . . . . 6 . . . . . . . . . . . . . . . . . . . .
“ Take the step to a better life”
Thank you for saving my life. In January 2003 I became a participant in the Board’s Alternative Program [ for Chemical Dependency].
When I was initially confronted with my substance abuse issues, I, like many others, was in a deep state of denial. The reality hit me
like a ton of bricks when I had to surrender my nursing license to the Board. At the time I had two choices: I could give up and stay
in the mud and mire I was in, or I could do as someone at the Board suggested— make it right. I chose the latter, and this chance is
what I am most appreciative of. I thank you not only for ensuring that the public is safe while receiving nursing care but for caring
about those who provide that care.
The road has not been easy. Many times I have wanted to give in.
I know I have to battle this addiction day by day. I am appreciative that today I am clean and sober. What a wonderful feeling it is.
I would like to tell participants in alternative or compliance programs to not give up. I know firsthand that you get tired and frustrat-ed
with the requirements of the programs, but living a life free from the bondage of addiction is worth it.
Also, to any of my fellow nurses who are currently battling their addictions silently, I want you to know you are not alone. We have a
compassionate Board that cares about you, and it has put programs and measures in place to lift you out of this dark place if you are
willing to do the work. It is only a phone call away. Take the step to a better life.
NAME WITHHELD UPON REQUEST
“ Don’t accept no for an answer ” The irony of my death will be that it is
attributable to direct patient care. I was exposed to blood on a daily basis while work-ing
as an RN in acute care areas in local hospitals. While trying to help people live,
I sat with families and patients, I read prayers, and I held people in my arms as they
took their last breath.
In November 2004, at my insistence for proper tests, I was found to be positive for
HCV ( hepatitis C virus). Although the test for HCV became available in 1998, my
previous employer did not notify me of this fact. By the time the diagnosis was made,
I was found to be ineligible for chemotherapy or a liver transplant. The vocation that
I chose and dedicated my life to turned against me. So here’s my message to all health
care workers: demand annual HCV testing. Early detection offers the best treatment
alternatives. Don’t accept no for an answer.
MARY JANE FERRELL, RN
Demand annual
HCV testing. Early
detection offers the
best treatment
alternatives.
DON’T ACCEPT
NO FOR AN
ANSWER.
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . NC
f r o m t h e
E x e c u t i v e
D i r e c t o r
This will be a busy year for our Board and staff
as we continue our journey toward excellence in
nursing regulation and delivery of safe, effective
patient care. We will enhance our regulatory processes
through implementation of continued competence requirements
for licensure renewal, expansion of our drug and alcohol alterna-tive
programs, and continuation of our Practitioner Remediation
and Practice Enhancement Partnership ( PREP) program for
licensees and employers. Also, we will pursue implementation of
national accreditation and uniform faculty- preparation require-ments
for all nursing education programs by 2015.
I am proud to report that the Board staff will seek the sec-ond
level of achievement and recognition by the North
Carolina Awards for Excellence for quality improvement that
is based on the nationally recognized Malcolm Baldrige
Criteria. Major corporations, educational institutions, and
health care systems across the state and the nation use these
criteria as a framework for continuous quality improvement.
Our Board is the first occupational licensing board in North
Carolina to commit to this level of scrutiny of our quality-improvement
efforts. I commend the efforts of each of our staff
members in this important journey.
The Foundation for Nursing Excellence, created by the
Board, will implement phase 1 of an important study in 2007.
With a grant from the Blue Cross/ Blue Shield of North Carolina
Foundation and in partnership with the National Council of
State Boards of Nursing, the Foundation will evaluate the transi-tion
of newly licensed nurses into their first six months of pro-fessional
employment as the next step toward a transition model
for all newly licensed nurses. The Foundation started to develop
the model transition program in 2004, in collaboration with the
North Carolina Center for Nursing and the North Carolina
Area Health Education Center programs. In 2007 the
Foundation will look at competency development, practice
errors, and risk for practice breakdown during this critical transi-tion
period. Using the findings, the Foundation will try to iden-tify
the factors that contribute most significantly to the develop-ment
of a safe, effective practitioner of nursing in this early peri-od
of employment and career development. In a later phase of
the project, the Foundation will use the information it has gath-ered
to study the effectiveness of interventions intended to max-imize
this transition for new graduates into a complex environ-ment
for health care delivery.
We welcome our newly elected Board members, Sara Griffith,
RN staff nurse, and Deborah Jenkins, LPN, on this journey to
regulatory excellence. Alexis Welch, RN, has been reelected as
an ADN/ Diploma nurse educator.
This is an exciting and critically important time in nursing
regulation. I am grateful for all our Board members, who volun-tarily
serve the citizens of the state through this important work.
Polly Johnson, RN, MSN, FAAN
It is with excitement that I enter my second
term as the Chair of your Board of Nursing. My
re- election platform, shared with my Board colleagues, was
based upon three C’s, and they are also my pledge to you:
COMMUNICATE . . . with you and each other to keep you
informed of Board activities and to seek your input;
COLLABORATE. . . with other licensing boards and profes-sional
colleagues to protect the health and well being of our
citizens;
COMMIT . . . my time and energy to moving us forward as
one of the most productive and effective nursing boards in
the nation.
During the January meeting we welcomed two new mem-bers
to the Board: Sara Griffith, RN and Deborah Jenkins,
LPN. Sara is the mother of a new baby, a first for the Board
since I joined. Deborah returns to the Board after a one year
break in service – and we are happy to have her back!
Also, during our January meeting we celebrated another first – the move to a paperless meeting. All Board members
were oriented to their new laptop computers and accompanying software prior to the meeting. We worked between paper
packets and electronic documents to get acclimated to the change during this meeting. It was a smooth transition, wonder-fully
facilitated by several members of the Board’s staff.
I look forward to the coming year, and I invite your comments and concerns.
Beverly Foster, PhD, RN
8 { Of f i c i a l Publication of the NORTH CAROLINA Board of Nursing } . . . . . . . . . . . . . . . . . . . . . . . . . . . .
f r o m t h e C h a i r
2007 Board
( Standing L to R) Paul Rusk,
Ramona Whichello, Carolyn
Moffett, Mary Ann Fuchs,
Gale Adcock, Lynn
Lancaster, Deborah Jenkins,
Sara Griffith, Janice Floyd
and Dan Hudgins ( Front row
L to R) Cindy Morgan,
Beverly Foster, Alexis
Welch, Martha Ann Harrell
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . NC
Elected Members take office
Alexis B. Welch, RN
Alexis B. Welch,
RN was re- elected to
a second term on the
Board of Nursing.
She is currently the
Dean of Health
Sciences at Lenoir
Community College and Director of the
ADN and PN nursing programs. Welch’s
clinical experience includes: critical care, geri-atrics,
medsurg, home health and psych.
She has been a licensed RN for more than
31 years in North Carolina. “ My desire for
unparalleled nursing care is influenced by my
roles as a consumer, mother, daughter and
friend,” Welch notes.
Deborah
L. Jenkins,
LPN
Deborah L.
Jenkins, LPN is
returning to the
Board. She was
first elected to the Board for a one
year term in 2004. A graduate of
Durham Technical Community
College, Jenkins has experience in
pediatrics, adult medicine, dermatol-ogy,
IV therapy and pharmacology.
Currently she works at Durham
Pediatrics, a division of Duke
University Health Systems. Jenkins
has also served as a Director and
President of the North Carolina LPN
Assoc., Durham region. “ I enjoy the
decision making process which serves
to uphold and maintain the quality and
integrity of the nursing profession,”
reports Jenkins.
Sara A. Griffith, RN
Sara A. Griffith, RN is newly elected to the Board of Nursing.
Griffith is a staff nurse with Wake Medical Health and Hospitals in
Raleigh. She received her BSN in nursing from East Carolina
University and is currently seeking her Master of Science in
Nursing from the same University. She is experienced in trau-ma/
general/ vascular surgery as well as cardiovascular surgical
nursing. “ I welcome this opportunity to serve and to address situations related to
the health, safety and welfare of the public,” Griffith said.
12 { Official Publication of the NORTH CAROLINA Board of Nursing } . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
As previously reported in the Nursing
Bulletin, an overwhelming majority of nurses voting in the
Board’s election are pleased that we offer incentives to those who take the time and make the
effort to vote. This year we are happy to announce that two properties have made generous
donations in support of nurses in North Carolina. The first is the Chetola Resort in Blowing
Rock, North Carolina. The second incentive is offered by The Franklin Hotel, a newly opened
luxury hotel in Chapel Hill, North Carolina.
As in the past, in order to receive one of these terrific stress reduction getaways, you must
vote in the 2007 Board election which beings July 1 and ends August 15th.
E L E C T I O N I N C E N T I V E S F O R 2 0 0 7
Winter Escape in
Blowing Rock
Through March 24th
Three days/ two nights in Chetola Lodge,
Chetola Condos or Bob Timberlake Inn.
Includes: Chetola Movie Bucket
$ 25 Tanger Outlet Gift Card,
Discount certificate for the Bob
Timberlake Galleries.
Two night packages start at $ 264 in
Chetola Lodge
$ 275 in Chetola Condos
$ 425 in Bob Timberlake Inn.
N. Main Street
Blowing Rock, NC
800- CHETOLA
www. chetola. com
􀁃 􀁒 􀁅 􀁁 􀁔 􀁅 􀁁 􀁎 􀁅 􀁗 􀁔 􀁒 􀁁 􀁄 􀁉 􀁔 􀁉 􀁏 􀁎
􀀥 􀁘 􀁐 􀁅 􀁒 􀁉 􀁅 􀁎 􀁃 􀁅 􀀣 􀁈 􀁁 􀁐 􀁅 􀁌 􀀨 􀁉 􀁌 􀁌 􀀡 􀁓 􀀮 􀁅 􀁖 􀁅 􀁒 􀀢 􀁅 􀁆 􀁏 􀁒 􀁅
􀀯 􀀰 􀀸 􀀸 􀀦 􀀭 􀀤 􀀰 􀀮 􀀪 􀀯 􀀨 􀀨 􀀶 􀀦 􀀴 􀀵 􀀴
􀀤 􀁐 􀁎 􀁆 􀁂 􀁏 􀁅 􀁅 􀁊 􀁔 􀁄 􀁐 􀁗 􀁆 􀁓 􀀵 􀁉 􀁆 􀀧 􀁓 􀁂 􀁏 􀁌 􀁍 􀁊 􀁏 􀀩 􀁐 􀁕 􀁆 􀁍 􀀍 􀁂 􀁑 􀁓 􀁆 􀁎 􀁊 􀁆 􀁓 􀁆 􀁍 􀁖 􀁙 􀁖 􀁓 􀁚
􀁃 􀁐 􀁖 􀁕 􀁊 􀁒 􀁖 􀁆 􀁉 􀁐 􀁕 􀁆 􀁍 􀁐 􀁏 􀁉 􀁊 􀁔 􀁕 􀁐 􀁓 􀁊 􀁄 􀀧 􀁓 􀁂 􀁏 􀁌 􀁍 􀁊 􀁏 􀀴 􀁕 􀁓 􀁆 􀁆 􀁕 􀁊 􀁏 􀁕 􀁉 􀁆 􀁉 􀁆 􀁂 􀁓 􀁕 􀁐 􀁇
􀁅 􀁐 􀁘 􀁏 􀁕 􀁐 􀁘 􀁏 􀀤 􀁉 􀁂 􀁑 􀁆 􀁍 􀀩 􀁊 􀁍 􀁍 􀀏 􀀴 􀁊 􀁎 􀁑 􀁍 􀁆 􀁖 􀁏 􀁅 􀁆 􀁓 􀁔 􀁕 􀁂 􀁕 􀁆 􀁅 􀁆 􀁍 􀁆 􀁈 􀁂 􀁏 􀁄 􀁆 􀁘 􀁊 􀁕 􀁉
􀁂 􀁅 􀁊 􀁔 􀁕 􀁊 􀁏 􀁄 􀁕 􀁊 􀁗 􀁆 􀁄 􀁍 􀁂 􀁔 􀁔 􀁊 􀁄 􀁔 􀁕 􀁚 􀁍 􀁆 􀁊 􀁏 􀁂 􀁘 􀁂 􀁓 􀁎 􀀍 􀁊 􀁏 􀁗 􀁊 􀁕 􀁊 􀁏 􀁈 􀁂 􀁕 􀁎 􀁐 􀁔 􀁑 􀁉 􀁆 􀁓 􀁆 􀀏
􀀫 􀁖 􀁔 􀁕 􀁔 􀁕 􀁆 􀁑 􀁔 􀁂 􀁘 􀁂 􀁚 􀁇 􀁓 􀁐 􀁎 􀁆 􀁗 􀁆 􀁓 􀁚 􀁕 􀁉 􀁊 􀁏 􀁈 􀀏
Come and discover The Franklin
Hotel, a premiere luxury boutique
hotel on historic Franklin Street in the
heart of downtown Chapel Hill. Simple
understated elegance with a distinctive
classic style in a warm, inviting atmos-phere.
Just steps away from everything.
Beautifully appointed guestrooms and luxurious penthouse
suites with private balconies and stunning view, exceptional
amenities, comforts and conveniences, exquisite meeting and
event space, fully equipped fitness center and executive business
center, in- room spa service, unsurpassed attention to detail and
personalized service with a gracious and dedicated staff.
Relax in elegant surroundings at Roberts At The Franklin lobby
bar and patio, a perfect gathering place with charming sidewalk
views, jazz piano and fireplace; and enjoy a sumptuous breakfast
menu at Windows Restaurant amidst lovely views of Franklin
Street. We look forward to welcoming you.
􀁃 􀁒 􀁅 􀁁 􀁔 􀁅 􀁁 􀁎 􀁅 􀁗 􀁔 􀁒 􀁁 􀁄 􀁉 􀁔 􀁉 􀁏 􀁎
􀀥 􀁘 􀁐 􀁅 􀁒 􀁉 􀁅 􀁎 􀁃 􀁅 􀀣 􀁈 􀁁 􀁐 􀁅 􀁌 􀀨 􀁉 􀁌 􀁌 􀀡 􀁓 􀀮 􀁅 􀁖 􀁅 􀁒 􀀢 􀁅 􀁆 􀁏 􀁒 􀁅
Pack your
bags!
NOMINATION FORM for 2007ELECTION
Nomination of Candidate for Membership on the North Carolina Board of Nursing for 2007
Although we have just completed a successful Board of Nursing election, we already are
getting ready for 2007. Next year the Board will have three openings: one for an RN who is
a nurse administrator in a hospital or a hospital system; one for an RN who is a nurse edu-cator
in a BSN or higher degree nursing program; and one for an LPN. This nomination
form is for you to tear out and use. The form must be completed and postmarked on or
before April 1, 2007. Following are instructions for completing the form and guidelines for
nominations. Be sure to follow all the instructions.
Instructions
Nominations for both RN and LPN positions shall be made by submitting a completed
petition signed by no fewer than 10 RNs ( for an RN nominee) or 10 LPNs ( for an LPN nomi-nee)
eligible to vote in the election. The minimum requirements for an RN or an LPN to
seek election to the Board and to maintain membership on it are as follows:
1. Hold a current unencumbered license to practice in North Carolina
2. Be a resident of North Carolina
3. Have a minimum of five years of experience in nursing
4. Have been engaged continuously in a position that meets the criteria for the specified
Board position, for at least three years immediately preceding the election, except for
the RN at- large position
Minimum ongoing- employment requirements for the RN or LPN member shall include con-tinuous
employment equal to or greater than 50% of a full- time position that meets the
criteria for the specified Board member position, except for the RN at- large position.
If you are interested in being a candidate for one of the positions, visit our website at
www. ncbon. com for additional information, including a Board Member Job Description and
other Board- related information. You also may contact Angela Ellis, executive assistant, at
angela@ ncbon. com or ( 919) 782- 3211, ext. 259. After careful review of the information
packet, you must complete the nomination form and submit it to the Board office by April
1, 2007.
Guidelines for Nominations
1. RNs can petition only for RN nominations and LPNs only for LPN nominations.
2. Only petitions submitted on the nomination form will be considered. Photocopies or
faxes are not acceptable.
3. The certificate number of the nominee and each petitioner must be listed on the form.
( The certificate number appears on the upper right- hand corner of the license.)
4. Names and certificate numbers ( for each petitioner) must be legible and accurate.
5. Each petition shall be verified with the records of the Board to validate that each nomi-nee
and petitioner holds appropriate North Carolina licensure.
6. If the license of the nominee is not current, the petition shall be declared invalid.
7. If the license of any petitioner listed on the nomination form is not current, and that
finding decreases the number of petitioners to fewer than ten, the petition shall be
declared invalid.
8. The envelope containing the petition must be postmarked on or before April 1, 2007,
for the nominee to be considered for candidacy. Petitions received before the April 1,
2007, deadline will be processed on receipt.
9. Elections will be held between July 1 and August 15, 2007. Those elected will begin their
terms of office in January 2008.
Please complete and return nomination forms to 2007 Board Election, North Carolina
Board of Nursing, P. O. Box 2129, Raleigh, NC 27602- 2129.
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . NC
We, the undersigned currently licensed nurses, do hereby petition for the name of ________________________________, RN/ LPN
( circle one), whose Certificate Number is ______________________, to be placed in nomination as a Member of the N. C. Board of
Nursing in the category of ( check one):
RN— Nurse Administrator in Hospital or Hospital System RN- BSN/ Higher Degree Nurse Educator LPN
Address of Nominee __________________________________________________________________
Telephone Number: ( Home) _______________________ ( Work) _____________________________
E- mail Address: ______________________________________________________________________
PETITIONERS - ( At least 10 petitioners per candidate required. Only RNs may petition for RN nominations; only LPNs may petition for
LPN nominations.) TO BE POSTMARKED ON OR BEFORE APRIL 1, 2007
NAME SIGNATURE CERTIFICATE NUMBER
____________________ ____________________ ____________________
____________________ ____________________ ____________________
____________________ ____________________ ____________________
____________________ ____________________ ____________________
____________________ ____________________ ____________________
____________________ ____________________ ____________________
____________________ ____________________ ____________________
____________________ ____________________ ____________________
____________________ ____________________ ____________________
____________________ ____________________ ____________________
____________________ ____________________ ____________________
Please complete and return nomination forms to 2007 Board Election, North Carolina Board of Nursing, P. O. Box 2129, Raleigh, NC 27602- 2129
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . NC
THE NORTH CAROLINA BOARD OF NURSING AND
THE NORTH CAROLINA DIVISION OF FAC I L I T Y S E R V I C E S
Joint Position Statement
ONNURSINGWORKENVIRONMENTS
BACKGROUND:
Nursing work environments have been consistently linked to
patient safety. The Institute for Safe Medication Practices ( ISMP)
affirmed in 2005 that “ long work hours and the fatigue that results
represent a serious threat to patient safety.”
The Institute of Medicine ( 2003), in addressing the work envi-ronment
of nurses, noted that long work hours pose a threat to
patient safety. They noted that fatigue slows reaction time, dimin-ishes
attention, and contributes to medical errors. This study con-cluded
that the elimination of mandatory overtime is essential to
patient safety and to the health and well- being of nurses.
The NC Institute of Medicine ( NCIOM) Task Force on the
North Carolina Nursing Workforce Report ( May 2004) recom-mended
as a “ high priority” that the North Carolina Board of
Nursing ( BON) and North Carolina Division of Facility Services
( DFS) work together to implement regulations to address nurses
working excessive hours in the provision of direct patient care. As
noted in the NCIOM Executive Summary, orientation and super-vised
on- the- job training are essential in helping new nurses or
nurses working in unfamiliar environments understand their job
responsibilities and obtain the confidence and skills necessary to
provide quality care.
The missions of the BON and DFS have guided their approach
to this issue. The assurance of the protection, well- being, and safe-ty
of the public receiving care in diverse healthcare settings is a
shared responsibility. The BON regulates the delivery of safe, effec-tive
nursing care. The DFS regulates and ensures the safe, adequate
care of people in medical, mental health, and group care facilities.
In response to the NCIOM recommendation, a “ think tank”
was convened in October 2004 to discuss implications and con-cerns
related to limitation of working hours. A core group was then
identified to review and explore the relevant literature, employer
data, and existing legislation. This group recommended that a joint
position statement be developed and that the BON provide clarifi-cation
to nurses who question limitations on work hours and
mandatory overtime.
PURPOSE:
The purpose of this Joint Statement on Nursing Work
Environments is to provide guidance to administrators, managers,
and direct care nurses within NC healthcare facilities as they work
together in assuring the development and maintenance of safe
work environments.
STATEMENT:
Extended work hours, whether mandatory or voluntary, pose a
significant threat to patient safety. The BON statement on
“ Extended Work Hours and Patient Safety” ( available at
http:// www. ncbon. com/ prac- rnfaq) should be used as a guide for
nurses in deciding whether to accept an assignment and for man-agers
in deciding whether to make an assignment. Refusing to
work mandatory overtime does not constitute patient abandon-ment.
Once accepted, however, assignments must be fulfilled until
reported off to another nurse. Nurses and managers need to avoid
overtime hours if either has reason to believe that the licensee is
sleep deprived or performance is otherwise compromised. Nurses
must communicate safety concerns clearly to managers, and those
working in more than one job must exercise caution in self- regulat-ing
their total hours worked. It is the position of the BON and
DFS that work hours must be managed by all concerned with an
emphasis on safe patient care.
Education and training are essential in maintaining and
improving nursing competencies. Agency- specific learning begins
with a thorough orientation and extends as assignments change
throughout the employment relationship. In addition, an effective,
timely orientation must be provided for contract and float nurses if
they are to ensure patient safety. The limitations of nurses working
CONTINUED ON PAGE 18
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . NC
SUMMARY of ACTIONS
In keeping with public records and open meetings laws, the North Carolina Board of Nursing posts all actions in the Nursing Bulletin
or on its website, at www. ncbon. com. A regular meeting of the Board was held on on on January 26, 2007, in Raleigh. The following is
a summary of the Board’s actions.
From the January 26, 2007, Board Meeting
ADMINISTRATIVE MATTERS
• Approved revisions to 21 NCAC
36.0812, Disciplinary Action, for final
review and action by the Rules Review
Commission
• Approved proposed language to seek the
following legislative changes to the
Nursing Practice Act during the 2007
General Assembly ( words with
strikethroughs represent deletions, words
with underlines represent additions):
Authorization for the Board to pur-chase
property: G. S. 90- 171.23( b) is
amended by adding a new subdivision to
read as follows:
“( b) . . . the Board is empowered to:
( 21) Acquire, hold, rent, encumber,
alienate, and otherwise deal with real
property in the same manner as a pri-vate
person or corporation, subject
only to approval of the Governor and
the Council of State as to the acqui-sition,
rental, encumbering, leasing,
and sale of real property. Collateral
pledged by the Board for an encum-brance
is limited to the assets,
income, and revenues of the Board.”
Authorization for the Board to establish
prerequisites for medication aide appli-cants:
G. S. 90- 171.56, Medication
Aide Requirements, is amended to read
as follows:
“ The Board of Nursing shall do the fol-lowing:
( 1) Establish standards for faculty
requirements for medication aide train-ing;
and
( 2) Establish applicant requirements for
medication aide training; and
( 3) Provide ongoing review and evalua-tion,
and recommend changes, for facul-ty
and medication aide training require-ments
to support safe medication admin-istration
and improve client, resident,
and patient outcomes.”
Authorization for the Board to use hear-ing
panels: G. S. 90- 171.56, Medication
Aide Requirements, is amended to read
as follows:
§ 90- 171.37A. Use of Hearing Panels.
“( a) The Board, in its discretion, may
designate three or more of its mem-bers,
the majority of whom shall be
licensed nurses, to conduct show
cause or contested case hearings.
( b) Hearings conducted pursuant to this
section shall be conducted in accor-dance
with Article 3A of Chapter
150B of the General Statutes and
rules adopted by the Board.
( c) Notwithstanding G. S. 150B- 40( b)
requiring that hearings be conducted
by a majority of the Board, the hear-ing
panel shall make a final agency
decision that contains findings of fact
and conclusions of law.
( d) Appeal from a decision of the hear-ing
panel shall be made pursuant to
Article 4 of Chapter 150B of the
General Statutes.“
Authorization for Board staff to serve
legal papers: G. S. 90- 171.23( b) is
amended by adding a new subdivision to
read:
“( b) . . . the Board is empowered to:
( 22) Designate one or more of its
employees to serve papers and sub-poenas
issued by the Board. Service
under this subsection is in addition to
any other methods of service permit-ted
by law.”
• Directed staff to gather further data
related to proposed changes to 21
NCAC 36.0318, Faculty, and submit a
report to the full Board at the May 2007
Board meeting.
RATIONALE: The North Carolina
Community College System requested a
review of the proposed language based
on the National League of Nursing
Accreditation Commission standards,
which recognize experienced clinicians
and allow them to be considered as
approved instructors on a case- by- case
basis if their academic qualifications and
experience are equivalent to a master’s
degree, even if they do not hold that
degree.
• Approved proposed changes to
Committee Structure and Function to
include creation of a Finance and Audit
Committee, transfer of Practice
Improvement and Regulation
Committee activities to staff, and cre-ation
of Licensure Review Panels to
replace Licensure and Settlement com-mittees.
• Approved a Joint Position Statement on
Nursing Work Environments by the
North Carolina Division of Facility
Services and the North Carolina Board
of Nursing.
RATIONALE: The statement is intended
to provide meaningful guidance to
North Carolina health care facilities
personnel, administrators, and nurses in
ensuring that nursing work environ-ments
support safe practice and provide
protection for consumers of nursing
care.
EDUCATION/ PRACTICE MATTERS
Education Matters
• Ratified full approval status for the fol-lowing
nursing education programs:
Caldwell Community College and
Technical Institute, Hudson— ADN
Cape Fear Community College,
Wilmington— PNE
continued on the following page
18 { Of f i c i a l Publication of the NORTH CAROLINA Board of Nursing } . . . . . . . . . . . . . . . . . . . . . . . . . . .
SUMMARY of ACTIONS CONTINUED From the January 26, 2007, Board Meeting
Central Piedmont Community College,
Charlotte— ADN
Mayland Community College, Spruce
Pine— ADN
• Ratified expansion in enrollment in the
following nursing education programs:
Beaufort County Community College,
Washington— PNE: an increase from 20
to 30, effective fall 2007
ECPI College of Technology, Raleigh—
PNE: an increase from 60 to 110, alter-nate
evening/ weekend schedule, effec-tive
fall 2006
Fayetteville Technical Community College,
Fayetteville— PNE: an increase from 67
to 83, effective fall 2006
UNC at Chapel Hill— BSN: an increase
from 330 to 380, effective spring 2007
Wake Technical Community College,
Raleigh— ADN: 11 students in one clini-cal
group, for Spring 2006 semester only
• Assigned full approval status on the
basis of 2006 NCLEX pass rates:
Durham Technical Community College,
Durham— PNE: 74% ( 2005) and 97%
( 2006)
Gardner- Webb University, Boiling
Springs— ADN: 72% ( 2005) and 83%
( 2006)
North Carolina Central University,
Durham— BSN: 65% ( 2005) and 82%
( 2006)
Robeson Community College,
Lumberton— ADN: 57% ( 2005) and
96% ( 2006)
Wilkes Community College, Wilkesboro—
ADN: 65% ( 2005) and 86% ( 2006)
• Assigned warning status on the basis of
2006 NCLEX pass rates:
Bladen Community College, Dublin—
ADN: 53%
Foothills Nursing Consortium, Spindale—
ADN: 71%
Randolph Community College,
Asheboro— ADN: 71%
Rockingham Community College,
Wentworth— ADN: 74%
Vance- Granville Community College,
Henderson— ADN: 74%
• Assigned warning status on the basis of
2005 and 2006 NCLEX pass rates:
North Carolina A& T State University,
Greensboro— BSN: 69% ( 2005) and
69% ( 2006)
EDUCATION- RELATED ACTIONS
• Ratified mail referendum for faculty
approval: Piedmont Community College,
Roxboro
• Faculty approval of Michael Langston
COMPLIANCE MATTERS
• Received reports and granted absolu-tions
to 4 RNs
• Removed probation from the license of
7 RNs and 9 LPNs
• Accepted voluntary surrenders from 17
RNs and 4 LPNs
• Suspended the license of 11 RNs and 5
LPNs
• Reinstated the license of 9 RNs and 2
LPNs
Number of participants in the Alternative
Program for Chemical Dependency: 118
RNs and 12 LPNs
Number of participants in the Chemical
Dependency Program: 62 RNs and 3 LPNs
Number of participants in the Illicit Drug
Program: 38 RNs and 15 LPNs
For the Board’s information: A revised
advisory statement on Surgical First Assist
is available online at www. ncbon. com, in
the Practice Department section, or by
calling ( 919) 782- 3211 ext. 244.
with unfamiliar patient populations and circumstances must be rec-ognized
and addressed as assignments are negotiated.
The BON and DFS support creative solutions that proactively
address nursing work environment issues. Administrators, man-agers,
and direct care nurses are encouraged to collaborate to find
safe solutions to these challenges. Agency leaders and nurses share
in this responsibility to assure that the appropriate environmental
systems and supports are implemented. Patients need and deserve
nurses who are supported in their ability to deliver safe, effective,
quality patient care. Both the BON and DFS are committed to
ensuring that North Carolina patients receive effective care in a
safe environment.
REFERENCES:
Institute for Safe Medication Practices ( ISMP). ( 2005). Exhausted
workforce increases the risk of errors. ISMP Nurse Advise- ERR,
3 ( 12). Accessed June 10, 2006. http:// www. ismp. org/ newslet-ters/
nursing/ articles/ 2005_ 12_ 01. asp
Institute of Medicine ( IOM). ( 2003). Keeping Patients Safe:
Transforming the Work Environment of Nurses. Washington,
D. C.: National Academy Press.
North Carolina Board of Nursing ( NCBON). ( 2002). Questions
Regarding Short Staffing and Abandonment. Accessed December
8, 2006. http:// www. ncbon. com/ prac- rnistate. asp
North Carolina Board of Nursing ( NCBON). ( 2006). Extended
Work Hours and Patient Safety. Accessed December 8, 2006.
http:// www. ncbon. com/ prac- rnfaq. asp
North Carolina Institute of Medicine ( NCIOM). [( 2004). Task
Force on the North Carolina Nursing Workforce Report.] Accessed
July 24, 2006. http:// www. nciom. org/ projects/ nursingwork-force/
nursingreport. html
CONTINUED FROM PAGE 15
{ Official Publication of the NORTH CAROLINA Board of Nursing } . . . . . . . . . 20 . . . . . . . . . . . . . . . . . . .
At their meeting on January 26, 2007, Board
members conducted business for the first time on
laptop computers. The software package, devel-oped
by Studio 361, allows members to view
reports, make comments, and maintain electronic
files of Board materials.
The Board has been working over the past sev-eral
years to streamline work processes and use
technology to increase efficiency, minimize Board
expenses, and enhance communication between
Board members and staff.
Beginning in May 2007, the Board will post
meeting documents to its website,
www. ncbon. com, along with the agenda. People
attending the Board meetings will be able to down-load
materials for review.
This is perhaps the most beauti-ful
time in human history; it is
really pregnant with all kinds of
creative possibilities made possi-ble
by science and technology
which now constitute the slave of
man – if man is not enslaved by it.}
JONAS SALK, M. D.
Developer of Polio Vaccine
Board Conducts
Business on
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . NC
EILEEN C. KUGLER, RN, MSN, MPH, FNP,
Education/ Practice Consultant
With the growing recognition that
health status affects a child’s ability to learn
and to succeed, and with increasing num-bers
of students with chronic health condi-tions
in the schools, the demand for school
nursing services has grown rapidly and
steadily in recent years. School nurses in
North Carolina are registered nurses and
may be employed by local education agen-cies
( LEAs), local health departments,
local health alliances, hospital systems, or
private schools. Those employed by LEAs
must be certified in school nursing by
either the American Nurses Credentialing
Center or the National Association of
School Nurses within three years of
employment.
The role of the school nurse is broad
and multifaceted. School nurses are in a
unique position to influence health policy
in the school environment as well as the
health status of students, faculty, and staff.
The National Association of School Nurses
lists seven roles of the school nurse: provid-ing
direct health care to students and staff,
providing leadership for the provision of
health services, providing screening and
referral for health conditions, promoting a
healthy school environment, promoting
health, providing leadership for health
policies and programs, and serving as a liai-son
between school personnel, family, com-munity,
and health care providers.
School nurses provide case management,
evaluate performance of activities of daily
living, and develop appropriate modifica-tions
for a student’s learning environment.
Also, they are prepared to treat injuries and
illnesses that are common occurrences in
the school- aged population.
Students with special health care needs
have the right to receive special health
care from qualified and adequately trained
personnel.
Ongoing evaluation and assessment of
the appropriateness of special health care
services must be provided in order to
ensure the safety and the appropriate place-ment
of these students. In 16 NCAC
6D. 0402( a), the North Carolina
Administrative Code stipulates, “ Each LEA
shall make available a registered nurse for
assessment, care planning, and on- going
evaluation of students with special health
care service needs in the school setting.” It
defines special health care services as
including “ procedures that are invasive,
carry reasonable risk of harm if not per-formed
correctly, may not have a pre-dictable
outcome, or may require additional
action based on results of testing or moni-toring.”
In 16 NCAC 6D. 0402 ( b), the
code states, “ Care planning includes but is
not limited to: 1) identification of appro-priate
person( s) to perform the procedure;
2) teaching those persons to perform the
procedure; and 3) identification of a mech-anism
for registered nurses to provide ongo-ing
supervision to ensure the procedure is
performed appropriately and monitoring
the student’s response to care provided in
the school setting.”
Some medically fragile students require
one- on- one nursing care in the school set-ting.
Students with chronic illness, physical
handicaps, and/ or disabilities may require
the performance of invasive health care
procedures during the school day ( e. g., uri-nary
catheterization, suctioning, tra-cheostomy
care, nasogastric or gastrostomy
tube feedings, stoma care, blood glucose
monitoring, oxygen therapy, and nebulizer
treatments). Students may also require
medication daily on a long- term basis ( e. g.,
Ritalin, lithium, other psychotropic or
seizure medications, insulin, and controlled
substances), or for emergency treatment
( e. g., asthma inhalers and epinephrine
injections). Secretaries, counselors, class-room
teachers, and teaching assistants are
the primary people who administer medica-tions
daily in the majority of school sys-tems.
It is important that a school nurse be
available to review and participate in the
THE CHALLENGES OF MEETING HEALTH CARE
NEEDS OF STUDENTS IN THE
SCHOOL SETTING
STUDENTS WITH SPECIAL HEALTH CARE
NEEDS HAVE THE RIGHT TO RECEIVE
SPECIAL HEALTH CARE FROM QUALIFIED
AND ADEQUATELY TRAINED PERSONNEL.
22 { Of f i c i a l Publication of the NORTH CAROLINA Board of Nursing } . . . . . . . . . . . . . . . . . . . . . . . . . . . .
development of school policy and proce-dures,
train and supervise teachers and other
staff about all aspects of giving medications
correctly, and serve as a coordinator among
parents, medical providers, and the school.
Meeting health needs in a school envi-ronment
is challenging. Delegation of care
to unlicensed assistive personnel becomes
necessary to support the individual health
care plans developed by the school nurse.
Delegation occurs when the school nurse
cannot be available to IMPLEMENT the
necessary interventions. It is not appropriate
for the school nurse to delegate any other
elements of the nursing process because
these require the skill and the knowledge of
the professional nurse. The school nurse uses
professional judgment consistent with both
nursing and school law in North Carolina to
decide what nursing care may be delegated
and to whom.
Rule 21 NCAC 36.0221, License
Required, outlines the criteria that must be
met before delegation of tasks to unlicensed
personnel. Tasks may be delegated to an
unlicensed person that
“( 1) frequently recur in the daily care of a
client or group of clients;
( 2) are performed according to an estab-lished
sequence of steps;
( 3) involve little or no modification from
one client- care situation to another;
( 4) may be performed with a predictable
outcome; and
( 5) do not inherently involve ongoing
assessment, interpretation, or decision-making
which cannot be logically separat-ed
from the procedure( s) itself.”
The role of the school nurse is to assess
the health needs of the child and to coordi-nate
with staff, family, health care providers,
and community agencies in order to provide
a coordinated school health program that
facilitates the maximum educational oppor-tunity
for the student. When the school
nurse determines that delegation is appropri-ate,
he or she must ascertain the competence
of the delegatee before delegating any tasks.
Assessment, evaluation, and nursing judg-ment
must not be delegated. Supervision,
monitoring, evaluation, and follow- up by the
nurse are crucial components of delegation.
The delegatee is accountable for accepting
the delegation and for his or her own actions
in carrying out the tasks.
Nurses can use the Five Rights of
Delegation— Right Task, Right
Circumstances, Right Person, Right
Direction/ Communication, Right
Supervision/ Evaluation— as a mental check-list
for remembering the essential elements
of delegation. If you are a school nurse and
have questions about nursing regulation,
contact a practice consultant at ( 919) 782-
3211.
Following are some references that may
be helpful in gaining a better understanding
of the delegation process:
American Nurses Association and National
Council of State Boards of Nursing. Joint
Statement on Delegation.
www. ncsbn. org/ pdfs/ Joint_ statement. pdf
National Association of School Nurses.
Position Statement: Delegation.
www. nasn. org/ Default. aspx? tabid= 349
North Carolina Board of Nursing.
Delegation: Decision Making Tools and
Process. www. ncbon. com/ prac-delegate.
asp
Kathy Chastain, RN, MN, practice consultant, con-tributed
to this article.
Looking for
Nurse/ Artists
If you are a nurse and an artist ( you don’t
have to be a professional artist), consider pro-ducing
a cover for the Nursing Bulletin. Each
issue of the magazine features an original piece
of art by a North Carolina artist. We try to highlight some aspect of nursing. The fall
2006 issue featured a nurse midwife. Other covers have highlighted nurse practitioners,
home health nurses, and the like.
We hope to feature school nurses on the cover of the spring 2007 issue, but other
ideas are welcome. If you are a nurse who might be interested in producing a cover, or
if you know such a nurse, please contact me, David Kalbacker, editor, at
david@ ncbon. com and send me a couple of samples of your work. My mailing address
is David Kalbacker, N. C. Board of Nursing, P. O. Box 2129, Raleigh, NC 27602. Please
include a telephone number or an e- mail address where I may contact you. Samples will
not be returned unless you specifically request that they be.
If you are selected to do a cover, the final art must be 17" x 22". And yes, we will pay
you for your creative efforts.
VOLUME 2 { NO2} EDITION 5
{ Official Publication of the NORTH CAR OLINA Board of Nursing} . . . . . . . . . . . . . . . . WIN TER
06
OnlineNCLEX Application Launched
Online
CONFERENCE
PATIENT SAFETY
CONFERENCEsee page 6
VOLUME2 { NO 1} EDIT ION 4
{ Official Publication of the N ORTH C AROLINABoard of Nursing} . . . . . . . . . . . . . . . . FALL
05
REQUIREMENT
by N. C. LEGISLATURE
COM PETENCE
CONTINUING
COMPETENCE
ELECTION RESULTS FOR 2005 NCLEX item writers
of NC
The following nurses represented North
Carolina in the NCLEX item develop-ment
program for the first quarter of FY
2007: Carolyn Baker, John Stevens,
Carolyn McCormick and alternate
Becky Ann Foushee. These individuals
either reviewed or helped write items for
the NCLEX exam.
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . NC
During my second year of nursing school our pro-fessor
gave us a quiz. I breezed through the ques-tions
until I read the last one: " What is the first
name of the woman who cleans the school?"
Surely this was a joke. I had seen the cleaning
woman several times, but how would I know her
name? I handed in my paper, leaving the last ques-tion
blank. Before the class ended, one student
asked if the last question would count toward our
grade. " Absolutely," the professor said. " In your
careers, you will meet many people. All are signifi-cant.
They deserve your attention and care, even if
all you do is smile and say hello." I've never for-gotten
that lesson. I also learned her name was
Dorothy. – JOANN C. JONES
the BREAK
r o o m It looks like Kathy
has lost her name
badge again!
24 { Official Publication of the NORTH CAROLINA Board of Nursing } . . . . . . . . . . . . . . . . . . . . . . . . . . . .
The North Carolina Board of Nursing and the North
Carolina Medical Board approved nurse practitioner rules in
August 2004. Recently the rules were reviewed and updated.
You can locate the revised rules by visiting the Board of
Nursing’s website, www. ncbon. com.
Nurse practitioner rule 21 NCAC 36.0812 ( Board of
Nursing) or 21 NCAC 32M. 0112 ( Medical Board) also has been
undergoing review. A public hearing was held on January 17,
2007. If the Board of Nursing and the Medical Board approve
the rule, it will become effective on April 1, 2007. The changes
in this rule set forth further grounds for disciplinary action con-sistent
with G. S. 90- 14( a), as requested by the 2006 General
Assembly, and list options for action that may be taken by the
Board of Nursing or the Medical Board.
UPDATED
N U R S E P R A C T I T I O N E R
RULES
This program offers scholarship- loans for gradu-ate
students interested in becoming nursing instruc-tors
at North Carolina community colleges or
four- year North Carolina colleges or universi-ties.
This program is strictly merit- based:
financial need is not a criterion.
Recipients must be North Carolina
residents for tuition purposes.
The program provides funding, up
to $ 15,000 per year for two years of
master’s coursework or three years of
doctoral coursework, for students purs-ing
degrees to teach nursing in North
Carolina colleges and universities.
Recipients must be enrolled FULL TIME in nursing
education or another area that prepares students to teach
nursing at the associate or baccalaureate degree level at
two- year or four- year colleges with nursing programs. In
addition, recipients must agree to teach in a North
Carolina nursing program upon completion of the nursing
education program supported by the scholarship.
The program is administered by the State Education
Assistance Authority. Applications, deadlines, eligibility
requirements, repayment requirements and additional
details about the program can be found at
www. CFNC. org/ NET.
{ N O R T H C A R O L I N A B o a r d o f N u r s i n g }
.. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. . NC
F O U R T H A N N U A L E D U C AT I O N S U M M I T
“ Expand Your TOOLBOX:
Strategic Use ofINFORMATICS”
FEATURED SPEAKERS
Diane Skiba, PhD, FAAN, FACMI, will focus on Net
Generation learners and the use of technology to address
faculty shortages, working across programs, building of
infrastructure. and development of partnerships.
Janet Grady, DrPH, RN, will present the Virtual
Clinical Practicum, a Nursing Telehealth strategy incorpo-rating
technology for clinical experiences for initial nursing
education and continuing education to address decreased
numbers of clinical sites and lack of specialty experiences
( e. g., dealing with burns and complicated deliveries). This
strategy could be effectively used for both interdisciplinary
training/ practice opportunities and evaluation of clinical
competency.
OBJECTIVES
• To examine the benefits and the challenges associated
with using technology to provide clinical experiences
for nursing students
• To explore the challenges associated with teaching Net
Generation learners
• To describe strategies for integrating technology into
the curriculum
• To identify ways to provide educational experiences and
extend faculty resources with informatics tools
DATE AND PLACE:
April 2, 2007, Friday Center, Chapel Hill
For registration information, visit the Board’s website,
www. ncbon. com, or contact Linda Blain at
lindab@ ncbon. com or ( 919) 782- 3211 ext. 238.
TARGETED AUDIENCE: nursing faculty, preceptors, nursing
staff working with students, and staff development educators.
NURSE EDUCATORS OF TOMORROW S C H O L A R S H I P Program
I am submitting my license renewal application online, and my
friend is using a paper application for his renewal. Neither of
us can find directions for submitting our continuing competence self-assessment
and learning plan with our license renewal application.
What should we do?
You are required to complete a self- assessment and a learning plan
at the time of license renewal, but you do not submit these to the
Board. They are your personal records, and the Board will not ask to see
them. You should retain them, along with documentation of your appli-cable
learning activities, throughout your two- year licensure period. If
you are audited on completion of a two- year licensure cycle, you then
will submit evidence of completion of your chosen learning activities.
Self- assessment worksheets and a learning
plan template are available, along with
other continuing competence information,
at the Board’s website, www. ncbon. com/ prac- contcomp. asp. These are not interactive computer
forms, so you must print them for your use and complete them manually.
The Board requires continuing education “ contact hours,” but some of the programs I
attend offer “ continuing education units” ( CEUs). Are CEUs acceptable in meeting the
continuing competence requirements?
The Board accepts both contact hours and CEUs in any combination in fulfillment of con-tinuing
competence requirements for continuing education. One contact hour ( 1.0) is generally equal to 60 minutes of
instruction or study. One- tenth ( 0.1) of a CEU is generally equal to 60 minutes of instruction or study. Therefore, 0.1 CEU is
equal to 1.0 contact hour. This conversion can be used in totaling continuing education hours.
I have reviewed the online and Bulletin information concerning continuing competence, but I am still confused about
the requirements and the timelines. Where can I get additional information?
A free Board webcast titled “ Understanding Continuing Competence” is available at www. ncbon. com/ prac- contcompw-cast.
asp. You can view it online at your convenience. It offers 1.0 contact hour of credit and will clarify continuing compe-tence
requirements.
In addition, the Board is offering several free Continuing Competence Workshops in 2007 at locations across the state. These
allow time for interaction and questions from participants. The locations, dates, times, and registration information for these pre-sentations
are available on page 30 of this Bulletin.
A
s FQ
Frequently Asked
Questions
Q.
A.
Q.
A.
Q.
A.
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . NC
Board Meeting
May 17– 18, 2007
Education/ Practice
Committee
April 11, 2007
August 30, 2007
Licensure Review Panels
February 16, 2007
March 16, 2007
April 12, 2007
June 14, 2007
July 13,2007
Administrative Hearings
February 22– 23, 2007
April 26– 27, 2007
July 26– 27, 2007
NORTH CAROLINA BOARD OF NURSING CALENDAR
28 { Official Publication of the NORTH CAROLINA Board of Nursing } . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Name&
Address
C H A N G E
Please notify the Board
promptly of all name and
address changes.
Return form to: North Carolina board
of Nursing, Attn: Barbara Nelson, P. O.
Box 2129, Raleigh, NC 27602- 2129.
OR fax your form to: ( 919) 781- 9461
RN Cert. Number __________________________
Expiration Date __/__/____
LPN Cert. Number __________________________
Expiration Date __/__/____
NAII Listing Number ________________________
name: _________________________________________________________
( first) ( middle) ( last)
address:__________________________________________________________
city: ___________________ __________ state: ____ zip/ postal code: _________
date of birth: _________________ social security number: _____-____-______
other last names: __________________________________________________
daytime phone number: ___________________________
signature:_______________________________________ date: ____________
e- mail address:________________________________________
For RN and LPN only:
You are required to update the following information for each change of address submitted:
Primary State of Residence: ____________
Are you on active duty as an Armed Forces Nurse: ( circle one) YES NO
PLEASE NOTE THAT A DUPLICATE LICENSE REFLECTING THE CHANGES WILL NO LONGER BE ISSUED
BECAUSE THE BOARD WENT CARDLESS AS OF JANUARY 1, 2007.
A duplicate license is not required for a name change if less than 6 months remains on the
license, nor is a duplicate license required for an address change.
Print or type name ( no nickname) and address TO BE PRINTED on license or listing card.
30 { Of f i c i a l Publication of the NORTH CAROLINA Board of Nursing } . . . . . . . . . . . . . . . . . . . . . . . . . . . .
NC Board of Nursing Workshop Registration Form 2007
Please check the appropriate Workshop Below
Continuing Competence Update
( 1.0CHs)
Information sessions related to board
requirements for demonstration of continu-ing
competence. Seating limited.
No fee required for these sessions.
Questions/ Directions? Contact Paulette at
( 919) 782- 3211, ext. 244,
or via e- mail at PAULETTE@ ncbon. com.
If you unable to attend one of these
workshops, please go to:
http:// www. ncbon. com/ prac- contcompwcast. asp
to view the web cast available 24/ 7.
YOU WILL BE ABLE TO PRINT CONTINUING COMPETENCE
DOCUMENTS AND RECEIVE CONTACT HOURS.
Legal Scope of Practice ( 2.3CHs)
The purpose of this offering is to provide information and
clarification regarding the legal scope of practice parameters
for licensed nurses in North Carolina.
Orientation Sessions for Administrators
of Nursing Services and Mid- Level
Nurse Managers ( 4.6 CHs)
Information sessions regarding the func-tions
of the Board of Nursing and the
impact of these functions on the roles of
the chief nurse administrator and the mid-level
nurse manager in all types of nursing
service settings.
___ February 21, 2007
___ May 15, 2007
___ August 8, 2007
___ November 13, 2007
Registration at least two weeks in advance of a
scheduled session is required. If you wish to review materi-als
prior to the session, please call 919/ 782- 3211 ext. 238
( limit 20 people per session)
Questions/ Directions?
Contact: Linda Blain at 919/ 782- 3211 ext. 238
or via e- mail at LINDAB@ ncbon. com
NAME:____________________________________________________________
TITLE:____________________________________________________________
ORGANIZATION NAME:_____________________________________________
ADDRESS: ______________________________ STATE: ______ ZIP: _________
WORK PH#: (____)_______________ HOME PH#: (____)________________
HOME ADDRESS:__________________________________________________
CITY: _______________________________ STATE: ________ ZIP: _________
E- MAIL ADDRESS: __________________________________________________
Make checks payable to North Carolina Board of Nursing or pay by credit card. Registration fee covers course materials.
Credit Card Type: MasterCard Visa Expiration Date: Month: _____ Year: _____
Credit Card Number: __________________________________________________
Cardholder Name ( as it appears on Credit Card):___________________________________
Cardholder Billing Address: _____________________________________________
CITY: ________________________________ STATE: _________ ZIP: _________
Code:__________________ Total Amount: $____________________
Cardholder Signature: ________________________________________________
( Credit card payment cannot be accepted via fax or phone.)
( Raleigh- NCBON- 10am- 3: 55pm)
Role of the LPN in North Carolina
( 3.8CHs)
( Registration starts at 8: 00 a. m.;
workshop ends at 12: 45 p. m.)
The purpose of this offering is to provide an overview regarding
the role, responsibilities, and scope of practice of the licensed
practical nurse. Content will focus on the role of the LPN in
contrast to the RN, clarification of the LPN as a nurse- in-charge,
and the role of the LPN in orienting the nurse aide.
RNs who assign to LPNs and LPNs in any type of practice set-ting
are encouraged to attend.
_____ May 9, 2007
Central Carolina Comm College - Sanford
1101 Nash Street
Dennis A. Wicker Civic Ctr - Lecture Hall
____ November 5, 2007 - Boone
Watauga Med Ctr
336 Deerfield Road
Auditorium
Questions/ Directions? Contact: Linda Blain at
919/ 782- 3211 ext. 238
or via e- mail at LINDAB@ ncbon. com
ONLINE WORKSHOP!
GO TO WWW. NCBON. COM
UNDER RECENT ANNOUNCEMENTS, LOCATE
“ LEGAL SCOPE OF PRACTICE ONLINE COURSE”
CLICK ON THE LINK AND FOLLOW INSTRUCTIONS
Please Indicate the following: Title/ Date of Workshops
Registration fee: $ 40 per session per person, for all workshops
except Continuing Competence Update; NONREFUNDABLE ( unless
the workshop is cancelled) PLEASE PRINT ALL INFORMATION AND
MAIL TO: Administrative Secretary– Practice, NCBON, POB 2129,
Raleigh, NC 27602. Please give a complete address, for you will be
mailed a confirmation and/ or directions.
The North Carolina Board of Nursing
is an Approved Provider of continuing
nursing education by the North
Carolina Nurses Association, an
accredited approver by the
American Nurses Credentialing
Center’s Commission on Accreditation.
CONTACT HOUR CERTIFICATES WILL BE
PRESENTED TO PARTICIPANTS WHO ATTEND
WORKSHOPS IN THEIR ENTIRETY.
___ MAY 3, 2007 – PINEHURST – 11A – 12P
FirstHealth Moore Regional Hospital Conf Ctr
MONROE AUDITORIUM
NC HWY 211 & PAGE ROAD
Select only one session for June 6th
___ JUNE 6, 2007 – RALEIGH
N. C. BOARD OF NURSING BOARD ROOM
3724 NATIONAL DR., SUITE 201
___ Session One – 10a- 11a
___ Session Two - 1p- 2p
Select only one session for August 20th
___ AUGUST 20, 2007 – ELIZABETH CITY
ALBEMARLE HOSPITAL – EDUCATION CENTER
1144 NORTH ROAD STREET
___ Session One – 10a- 11a
___ Session Two - 1p- 2p
___ NOVEMBER 7, 2007 – WILMINGTON – 11A - 12P
COSTAL AHEC
2131 SOUTH 17TH STREET